MARVIN WILLIAM JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122582

License Status

NOT RENEWED

Business

Title

First Name

MARVIN

Middle

WILLIAM

Last Name

JACKSON

Business Name

MARVIN WILLIAM JACKSON MD

Original Issue Date

02/06/2009

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021