License holder summary

BRENT DAVID JACKSON is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for BRENT DAVID JACKSON is FILLMORE, UT 84631. This licensed professional license is current. The license was granted 06/07/1979 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

BRENT DAVID JACKSON
Physician - Physician & Surgeon
License number
163828-1205
Date granted
06/07/1979
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
FILLMORE, UT 84631
utahlicensing.org
ID 29920018
LAST UPDATED 2024-03-27 02:09:26 UTC

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