FRED L JACOBS MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004620

License Status

NOT RENEWED

Business

Business Name

FRED L JACOBS MD SC

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

01/01/1986

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006