STEQUITA C JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

Title

First Name

STEQUITA

Middle

Last Name

JACKSON

Business Name

STEQUITA C JACKSON MD

Original Issue Date

09/10/2020

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023