LORI R JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119598

License Status

ACTIVE

Business

First Name

LORI

Middle

Last Name

JACKSON

Suffix

Business Name

LORI R JACKSON MD

Original Issue Date

10/25/2007

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/01/2023