CARL SERGEI JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057885

License Status

NOT RENEWED

Business

First Name

CARL SERGEI

Last Name

JACKSON

Suffix

Business Name

CARL SERGEI JACKSON MD

Original Issue Date

10/23/1978

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008