FRED L JACOBS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053298

License Status

ACTIVE

Business

First Name

FRED L

Last Name

JACOBS

Suffix

Business Name

FRED L JACOBS MD

Original Issue Date

08/19/1976

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/17/2023