Claudette Fae Jackson

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085002210

Status

Expired (Not Renewed)

First issued

February 13, 2004

Expired

March 1, 2008

License holder

Claudette Fae Jackson

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/13/2004

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