BRANDI MONIQUE JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

BRANDI

Middle

MONIQUE

Last Name

JACKSON

Business Name

BRANDI MONIQUE JACKSON MD

Original Issue Date

08/24/2018

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023