ROBERT L JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

ROBERT L

Last Name

JACKSON

Suffix

Business Name

ROBERT L JACKSON MD

Original Issue Date

11/14/1990

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023