KEVIN MORGAN JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

KEVIN

Middle

MORGAN

Last Name

JACKSON

Suffix

Business Name

KEVIN MORGAN JACKSON MD

Original Issue Date

06/25/2004

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023