BRANDI MONIQUE JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066934

License Status

EXPIRED

Business

Title

First Name

BRANDI

Middle

MONIQUE

Last Name

JACKSON

Business Name

BRANDI MONIQUE JACKSON MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

10/25/2018