MICHELE R JACKSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032391

License Status

EXPIRED

Business

First Name

MICHELE

Middle

Last Name

JACKSON

Business Name

MICHELE R JACKSON

Original Issue Date

12/29/1994

Effective Date

12/29/1994

Expiration Date

12/28/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006