DOUGLAS A JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057410

License Status

ACTIVE

Business

First Name

DOUGLAS A

Last Name

JACKSON

Suffix

Business Name

DOUGLAS A JACKSON MD

Original Issue Date

08/21/1978

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

04/14/2023