Iowa
Professional Licensing Bureau
PHILLIP GAYNOR JACKSON
Physician Assistants - Physician Assistant
License number
R00003
Date granted
08/22/1990
Date expires
09/30/1992
Class
Physician Assistants - Physician Assistant
Status
Inactive
Address
190 WEST BORT STREET LONG BEACH CA 90805
iowalicenses.org
ID 24190097
LAST UPDATED 2024-02-17 09:57:09 UTC
LAST UPDATED 2024-02-17 09:57:09 UTC
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