DONALD M JACOBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065987

License Status

NOT RENEWED

Business

First Name

DONALD M

Last Name

JACOBSON

Suffix

Business Name

DONALD M JACOBSON MD

Original Issue Date

01/21/1983

Effective Date

01/21/1983

Expiration Date

07/31/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

01/27/2015

Case Number

2014008741

Action

Refuse To Renew

Discipline Start Date

10/30/2014

Discipline Reason

for sister-state discipline in the state of Wisconsin.