CHRISTINE K JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072692

License Status

NOT RENEWED

Business

First Name

CHRISTINE K

Last Name

JACOBS

Suffix

Business Name

CHRISTINE K JACOBS MD

Original Issue Date

05/02/1986

Effective Date

11/19/2008

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/14/2011