CYNTHIA L JACKSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031900

License Status

EXPIRED

Business

First Name

CYNTHIA

Middle

Last Name

JACKSON

Business Name

CYNTHIA L JACKSON

Original Issue Date

06/20/1994

Effective Date

06/20/1994

Expiration Date

06/23/1995

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006