MITCHELL A JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083377

License Status

ACTIVE

Business

First Name

MITCHELL

Middle

Last Name

JACKSON

Suffix

Business Name

MITCHELL A JACKSON MD

Original Issue Date

09/04/1991

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

07/01/2023