MITCHELL A JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

MITCHELL

Middle

Last Name

JACKSON

Suffix

Business Name

MITCHELL A JACKSON MD

Original Issue Date

09/17/1991

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

LAKE VILLA

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023