ROBERT L JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022936

License Status

EXPIRED

Business

First Name

ROBERT L

Last Name

JACKSON

Suffix

Business Name

ROBERT L JACKSON MD

Original Issue Date

06/29/1988

Effective Date

06/29/1988

Expiration Date

06/27/1991

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006