WILLIE MAE JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133456

License Status

ACTIVE

Business

Title

First Name

WILLIE

Middle

MAE

Last Name

JACKSON

Business Name

WILLIE MAE JACKSON MD

Original Issue Date

07/02/2013

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

Ever Disciplined

LastModifiedDate

07/16/2025