License holder summary

TIMOTHY LAWRENCE JACKSON is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for TIMOTHY LAWRENCE JACKSON is Flagstaff, AZ 86004. This licensed professional license is not current. The license was granted 10/11/2010 and expired on 08/31/2013.

Michigan

Department of Licensing and Regulation

TIMOTHY LAWRENCE JACKSON
Physician's Assistant - Physician Assistant
License number
5601005926
Date granted
10/11/2010
Date expires
08/31/2013
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Flagstaff, AZ 86004
michiganlicensing.org
ID 25993043
LAST UPDATED 2024-02-14 00:10:40 UTC

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