JACKSON THOMAS KNAPPEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

JACKSON

Middle

THOMAS

Last Name

KNAPPEN

Business Name

JACKSON THOMAS KNAPPEN MD

Original Issue Date

09/11/2024

Effective Date

09/11/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024