License holder summary

Ian Thomas Jackson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Ian Thomas Jackson is 22250 Providence Drive, Suite 703, Southfield, MI 48075. This doctor license is not current. The license was granted 08/10/1981 and expired on 12/31/1990.

Department of Safety and Professional Services

Board of Medical Practice

Ian Thomas Jackson
Medical - Physician And Surgeon
License number
26497
Date granted
08/10/1981
Date expires
12/31/1990
Class
Medical - Physician And Surgeon
Status
Canceled
Address
22250 Providence Drive, Suite 703, Southfield, MI 48075
doctorsminnesota.org
ID 22227808
LAST UPDATED 2024-02-18 23:42:02 UTC

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