License holder summary

JACKSON THERESA PATRICIA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for JACKSON THERESA PATRICIA is SPRING VALLEY NY. This doctor license is not current. The license was granted 02/06/1981.

New York

Office of the Professions

JACKSON THERESA PATRICIA
Medicine (Physician, Including M Ds & D Os)
License number
145060
Date granted
02/06/1981
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
SPRING VALLEY NY
nymedicine.org
ID 30175456
LAST UPDATED 2024-02-13 19:21:25 UTC

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