MARY R JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075180

License Status

NOT RENEWED

Business

First Name

MARY R

Last Name

JACOBS

Suffix

Business Name

MARY R JACOBS MD

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006