F WILSON JACKSON III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027682

License Status

EXPIRED

Business

First Name

F WILSON

Last Name

JACKSON

Suffix

III MD

Business Name

F WILSON JACKSON III MD

Original Issue Date

04/21/1992

Effective Date

04/21/1992

Expiration Date

06/22/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006