CARL CHRISTIAN A JACKSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036376

License Status

EXPIRED

Business

First Name

CARL CHRISTIAN

Middle

Last Name

JACKSON

Business Name

CARL CHRISTIAN A JACKSON

Original Issue Date

05/29/1997

Effective Date

05/29/1997

Expiration Date

06/23/2002

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006