ELIZABETH MARIE JACOBSEN - Podiatrist License in Illinois | # 016005630

ELIZABETH MARIE JACOBSEN

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005630

License Status

INACTIVE

Business

N

First Name

ELIZABETH

Middle

MARIE

Last Name

JACOBSEN

Business Name

ELIZABETH MARIE JACOBSEN

Original Issue Date

10/06/2014

Effective Date

11/08/2020

Expiration Date

01/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

12/07/2020