ROBERT WAYNE JACKSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

WAYNE

Last Name

JACKSON

Business Name

ROBERT WAYNE JACKSON DO

Original Issue Date

12/05/2017

Effective Date

12/01/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023