MITCHELL A JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023360

License Status

EXPIRED

Business

First Name

MITCHELL

Middle

Last Name

JACKSON

Suffix

Business Name

MITCHELL A JACKSON MD

Original Issue Date

04/24/1989

Effective Date

04/24/1989

Expiration Date

06/23/1992

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006