KRISTINE R JACKMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

KRISTINE R

Last Name

JACKMAN

Business Name

KRISTINE R JACKMAN

Original Issue Date

08/15/1995

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020