DANIEL S JACOB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097540

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

Last Name

JACOB

Business Name

DANIEL S JACOB MD

Original Issue Date

03/25/1998

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/25/2023