JOHN WILLIAM JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027357

License Status

EXPIRED

Business

First Name

JOHN WILLIAM

Last Name

JACKSON

Suffix

Business Name

JOHN WILLIAM JACKSON MD

Original Issue Date

06/28/1991

Effective Date

06/28/1991

Expiration Date

06/27/1994

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006