GARLAND C JACKSON JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017604

License Status

EXPIRED

Business

First Name

GARLAND C

Last Name

JACKSON JR

Suffix

Business Name

GARLAND C JACKSON JR MD

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

10/07/1988

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006