License holder summary

JACKSON LISA NICOLE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for JACKSON LISA NICOLE is NEW YORK NY. This doctor license is current. The license was granted 07/16/2007 and expired on 08/31/2016.

New York

Office of the Professions

JACKSON LISA NICOLE
Medicine (Physician, Including M Ds & D Os)
License number
245188
Date granted
07/16/2007
Date expires
08/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
NEW YORK NY
nymedicine.org
ID 30175407
LAST UPDATED 2024-03-15 21:33:00 UTC

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