License holder summary

Charles Bradford Jackson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Charles Bradford Jackson is 11796 Indian Ridge Rd, Reston, VA 22091. This doctor license is not current. The license was granted 11/07/1969 and expired on 12/31/1972.

Department of Safety and Professional Services

Board of Medical Practice

Charles Bradford Jackson
Medical - Physician And Surgeon
License number
18924
Date granted
11/07/1969
Date expires
12/31/1972
Class
Medical - Physician And Surgeon
Status
Canceled
Address
11796 Indian Ridge Rd, Reston, VA 22091
doctorsminnesota.org
ID 22227804
LAST UPDATED 2024-04-24 18:17:46 UTC

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