LEO JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040904

License Status

NOT RENEWED

Business

First Name

LEO

Last Name

JACOBS

Suffix

Business Name

LEO JACOBS MD

Original Issue Date

02/16/1967

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

09/21/2021

Case Number

2021004630

Action

Suspension

Discipline Start Date

09/20/2021

Discipline Reason

Failure to file and/or pay Illinois state income taxes.