GREGORY PAUL JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

GREGORY PAUL

Last Name

JACKSON

Suffix

Business Name

GREGORY PAUL JACKSON MD

Original Issue Date

02/09/1999

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023