MITCHELL A JACKSON MD
Licensed Physician Controlled Substance
Illinois 336061421 Not Renewed
This Illinois license was held by MITCHELL A JACKSON MD. The license is no longer active. It was granted on 08/18/1999 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336061421
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 08/18/1999 (almost 26 years ago)
- Expiry Date: 07/31/2005 (almost 20 years ago)
LOCATIONS
A Address
Lake Villa, IL 60046-8563