MOLLY JACOB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058486

License Status

NOT RENEWED

Business

First Name

MOLLY

Last Name

JACOB

Suffix

Business Name

MOLLY JACOB MD

Original Issue Date

03/22/1979

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

05/28/2015