License holder summary

DIANE R JACKSON is a Medicine - Medicine And Surgery licensed to practice in District of Columbia. The address on file for DIANE R JACKSON is 4806 BROOKSTONE TERRACE, BOWIE MD 20720-3414. This licensed professional license is not current. The license was granted 10/07/1991 and expired on 12/31/2006.

District of Columbia

Department of Consumer and Regulatory Affairs

DIANE R JACKSON
Medicine - Medicine And Surgery
License number
MD19272
Date granted
10/07/1991
Date expires
12/31/2006
Class
Medicine - Medicine And Surgery
Status
Expired
Address
4806 BROOKSTONE TERRACE, BOWIE MD 20720-3414
dclicensing.com
ID 20147230
LAST UPDATED 2024-02-27 05:03:43 UTC

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