License holder summary

Carl Robert Jackson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Carl Robert Jackson is 20 S Park St, Madison, WI 53715. This doctor license is not current. The license was granted 05/24/1957 and expired on 12/31/1987.

Department of Safety and Professional Services

Board of Medical Practice

Carl Robert Jackson
Medical - Physician And Surgeon
License number
14136
Date granted
05/24/1957
Date expires
12/31/1987
Class
Medical - Physician And Surgeon
Status
Canceled
Address
20 S Park St, Madison, WI 53715
doctorsminnesota.org
ID 22228291
LAST UPDATED 2024-02-17 20:23:36 UTC

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