DYLAN JACKSON DUES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085867

License Status

ACTIVE

Business

Title

First Name

DYLAN

Middle

JACKSON

Last Name

DUES

Business Name

DYLAN JACKSON DUES MD

Original Issue Date

06/23/2025

Effective Date

06/23/2025

Expiration Date

06/22/2028

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/10/2025