License holder summary

SUSAN M JACKSON is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for SUSAN M JACKSON is Redford, MI 48240. This licensed professional license is not current. The license was granted 08/28/1987 and expired on 08/31/1992.

Michigan

Department of Licensing and Regulation

SUSAN M JACKSON
Physician's Assistant - Physician Assistant
License number
5601001790
Date granted
08/28/1987
Date expires
08/31/1992
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Redford, MI 48240
michiganlicensing.org
ID 25993037
LAST UPDATED 2024-04-03 13:30:33 UTC

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