ROBYN A JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

ROBYN

Middle

Last Name

JACKSON

Business Name

ROBYN A JACKSON MD

Original Issue Date

10/24/1997

Effective Date

05/28/2015

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2007001700

Action

Suspension

Discipline Start Date

06/06/2016

Discipline Reason

due to surrender of DEA Registration for Cause for inappropriate prescribing of controlled substances in May 2016.