MARY L JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065105

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

JACKSON

Suffix

Business Name

MARY L JACKSON MD

Original Issue Date

08/13/1982

Effective Date

09/03/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2026