ALYCE F JACKSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029571

License Status

EXPIRED

Business

First Name

ALYCE F

Last Name

JACKSON

Business Name

ALYCE F JACKSON

Original Issue Date

05/12/1993

Effective Date

05/12/1993

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006