MICHELE R JACKSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099379

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

Last Name

JACKSON

Business Name

MICHELE R JACKSON

Original Issue Date

12/10/1998

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017