License holder summary

Richard Lewis Jackson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Richard Lewis Jackson is 4211 Forest Rd, St. Louis Park, MN 55416. This doctor license is current. The license was granted 07/20/1951 and expired on 03/31/1993.

Department of Safety and Professional Services

Board of Medical Practice

Richard Lewis Jackson
Medical - Physician And Surgeon
License number
12058
Date granted
07/20/1951
Date expires
03/31/1993
Class
Medical - Physician And Surgeon
Status
Active
Address
4211 Forest Rd, St. Louis Park, MN 55416
doctorsminnesota.org
ID 22227834
LAST UPDATED 2024-02-26 05:26:31 UTC

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