EDGAR C JACKSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016000681

License Status

NOT RENEWED

Business

First Name

EDGAR C

Last Name

JACKSON

Business Name

EDGAR C JACKSON

Original Issue Date

01/01/1998

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006