BARBARA R JACKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

BARBARA

Middle

Last Name

JACKS

Suffix

Business Name

BARBARA R JACKS MD

Original Issue Date

07/17/1991

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

SOUTH CAROLINA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023