DENISE LYTTIE JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094604

License Status

ACTIVE

Business

First Name

DENISE LYTTIE

Last Name

JACKSON

Suffix

Business Name

DENISE LYTTIE JACKSON MD

Original Issue Date

12/09/1996

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

06/16/2023