JOANNA MAE JACKSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051908

License Status

CANCELLED

Business

First Name

JOANNA

Middle

MAE

Last Name

JACKSON

Suffix

Business Name

JOANNA MAE JACKSON DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/04/2007