CHRISTINE JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028737

License Status

EXPIRED

Business

First Name

CHRISTINE

Last Name

JACKSON

Suffix

Business Name

CHRISTINE JACKSON MD

Original Issue Date

06/12/1992

Effective Date

06/12/1992

Expiration Date

06/30/1995

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006