DOUGLAS A JACKSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

INACTIVE

Business

First Name

DOUGLAS A

Last Name

JACKSON

Suffix

Business Name

DOUGLAS A JACKSON MD

Original Issue Date

01/01/1997

Effective Date

05/16/2017

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020