MERCEDITA C JACOB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046714

License Status

ACTIVE

Business

First Name

MERCEDITA C

Last Name

JACOB

Suffix

Business Name

MERCEDITA C JACOB MD

Original Issue Date

12/13/1972

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2023