CHRISTIAN S JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040019

License Status

EXPIRED

Business

First Name

CHRISTIAN

Middle

Last Name

JACKSON

Suffix

Business Name

CHRISTIAN S JACKSON MD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/21/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/29/2024