STEVEN JAMES JACKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

STEVEN JAMES

Last Name

JACKMAN

Suffix

Business Name

STEVEN JAMES JACKMAN MD

Original Issue Date

01/01/1997

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021