DAVID JACKSON ADAMS - Medical Doctor License in Illinois | # 036069819

DAVID JACKSON ADAMS

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069819

License Status

NOT RENEWED

Business

N

First Name

DAVID JACKSON

Last Name

ADAMS

Business Name

DAVID JACKSON ADAMS

Original Issue Date

11/07/1984

Effective Date

11/07/1984

Expiration Date

07/31/1987

State

IL

Ever Disciplined

Y

LastModifiedDate

03/24/2007

Case Number

1984000668

Action

Revocation

Discipline Start Date

03/19/1986