PAUL A JACKSON JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

PAUL A

Last Name

JACKSON JR

Suffix

Business Name

PAUL A JACKSON JR MD

Original Issue Date

03/21/1991

Effective Date

03/21/1991

Expiration Date

07/31/1999

City

FORT SHERIDAN

State

Zip

60037

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006