LESLIE K JACKSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

INACTIVE

Business

First Name

LESLIE K

Last Name

JACKSON

Suffix

Business Name

LESLIE K JACKSON MD

Original Issue Date

07/22/1986

Effective Date

05/14/2013

Expiration Date

07/31/2014

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2013

Case Number

2012011719

Action

Suspension

Discipline Start Date

08/22/2013

Discipline Reason

due to prescribing excessive amounts of controlled substances.