BARRY R JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079444

License Status

NOT RENEWED

Business

First Name

BARRY R

Last Name

JACOBS

Suffix

Business Name

BARRY R JACOBS MD

Original Issue Date

09/26/1989

Effective Date

09/26/1989

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/16/2017