ANTONY T JACOB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064965

License Status

NOT RENEWED

Business

First Name

ANTONY T

Last Name

JACOB

Suffix

Business Name

ANTONY T JACOB MD

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

07/31/1990

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006