ALLEN T JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028732

License Status

EXPIRED

Business

First Name

ALLEN

Middle

Last Name

JACKSON

Suffix

Business Name

ALLEN T JACKSON MD

Original Issue Date

06/12/1992

Effective Date

06/12/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006