JACKIE L MCPHERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

JACKIE L

Last Name

MCPHERSON

Suffix

Business Name

JACKIE L MCPHERSON MD

Original Issue Date

01/01/1997

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023