RAYMOND E JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

RAYMOND E

Last Name

JACKSON

Suffix

Business Name

RAYMOND E JACKSON MD

Original Issue Date

01/19/1988

Effective Date

01/19/1988

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006