GRACE JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154094

License Status

ACTIVE

Business

Title

First Name

GRACE

Last Name

JACKSON

Business Name

GRACE JACKSON MD

Original Issue Date

08/25/2020

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

07/22/2023