JOHN JOSEPH TACKETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

JOSEPH

Last Name

TACKETT

Business Name

JOHN JOSEPH TACKETT MD

Original Issue Date

08/24/2023

Effective Date

08/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2023