DALIA T JACOB Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104516

License Status

ACTIVE

Business

First Name

DALIA

Middle

Last Name

JACOB

Business Name

DALIA T JACOB

Original Issue Date

04/11/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023