JACKSON PAUL TATE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085170

License Status

ACTIVE

Business

Title

First Name

JACKSON

Middle

PAUL

Last Name

TATE

Business Name

JACKSON PAUL TATE MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

04/03/2025