JULIE ANNE JACKSON Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054145

License Status

CANCELLED

Business

First Name

JULIE

Middle

ANNE

Last Name

JACKSON

Business Name

JULIE ANNE JACKSON

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/30/2008