JEFFREY K JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

JACKSON

Suffix

Business Name

JEFFREY K JACKSON MD

Original Issue Date

09/17/1999

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020