PHILIP LARKIN JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148100

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

LARKIN

Last Name

JACKSON

Business Name

PHILIP LARKIN JACKSON MD

Original Issue Date

01/10/2019

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

06/29/2023