JACK C COOKSEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038562

License Status

NOT RENEWED

Business

First Name

JACK C

Last Name

COOKSEY

Suffix

Business Name

JACK C COOKSEY MD

Original Issue Date

09/05/1963

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017