HANNAH ALPHS JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

HANNAH

Middle

ALPHS

Last Name

JACKSON

Business Name

HANNAH ALPHS JACKSON MD

Original Issue Date

01/14/2011

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020