CAROLYN IRENE JACOB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102098

License Status

ACTIVE

Business

First Name

CAROLYN

Middle

IRENE

Last Name

JACOB

Suffix

Business Name

CAROLYN IRENE JACOB MD

Original Issue Date

03/09/2000

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

05/26/2023