JACKSON W CHEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047434

License Status

INACTIVE

Business

First Name

JACKSON W

Last Name

CHEN

Suffix

Business Name

JACKSON W CHEN MD

Original Issue Date

08/01/1973

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/07/2011

Case Number

1996010107

Action

Probation

Discipline Start Date

04/02/1998

Discipline End Date

04/01/1999