LEON S JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

LEON S

Last Name

JACKSON

Suffix

Business Name

LEON S JACKSON MD

Original Issue Date

06/20/1991

Effective Date

06/20/1991

Expiration Date

07/31/2002

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006