JACKSON W CHEN MD - Medical Doctor License in Illinois | # 036047434

JACKSON W CHEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047434

License Status

INACTIVE

Business

N

First Name

JACKSON W

Last Name

CHEN

Suffix

MD

Business Name

JACKSON W CHEN MD

Original Issue Date

08/01/1973

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

Y

LastModifiedDate

04/07/2011

Case Number

1996010107

Action

Fine

Discipline Start Date

04/02/1998