AVERY M JACKSON III Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031594

License Status

EXPIRED

Business

First Name

AVERY

Middle

Last Name

JACKSON

Suffix

III

Business Name

AVERY M JACKSON III

Original Issue Date

05/27/1994

Effective Date

05/27/1994

Expiration Date

06/20/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006