GREGORY PAUL JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023532

License Status

EXPIRED

Business

First Name

GREGORY PAUL

Last Name

JACKSON

Suffix

Business Name

GREGORY PAUL JACKSON MD

Original Issue Date

05/05/1989

Effective Date

05/05/1989

Expiration Date

06/25/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006