WILLIAM A JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035900

License Status

NOT RENEWED

Business

First Name

WILLIAM A

Last Name

JACKSON

Suffix

Business Name

WILLIAM A JACKSON MD

Original Issue Date

08/26/1959

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017