License holder summary

LEWIS JACKSON JR is a Department Of Health - Medical Doctor licensed to practice in Florida. The address on file for LEWIS JACKSON JR is 1611 NW 12TH AVE, MIAMI, FL 33136. This doctor license is not current. The license was granted 07/01/2003 and expired on 01/31/2014.

Florida

Florida Board of Medicine

LEWIS JACKSON JR
Department Of Health - Medical Doctor
License number
ME94517
Date granted
07/01/2003
Date expires
01/31/2014
Class
Department Of Health - Medical Doctor
Status
DISCP-RELINQ
Address
1611 NW 12TH AVE, MIAMI, FL 33136
doctorsflorida.org
ID 23516564
LAST UPDATED 2024-01-21 08:23:46 UTC

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