HERBERT JACKSON - Podiatrist License in Illinois | # 016002434

HERBERT JACKSON

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002434

License Status

INACTIVE

Business

N

First Name

HERBERT

Last Name

JACKSON

Business Name

HERBERT JACKSON

Original Issue Date

08/01/1962

Effective Date

08/01/1962

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006