TAMARA CHRISTINE JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

TAMARA

Middle

CHRISTINE

Last Name

JACKSON

Business Name

TAMARA CHRISTINE JACKSON MD

Original Issue Date

05/04/2010

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

04/19/2023