LORI R JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

LORI

Middle

Last Name

JACKSON

Suffix

Business Name

LORI R JACKSON MD

Original Issue Date

06/25/2008

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023