KRISTEN M JACOBS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106078

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

Last Name

JACOBS

Suffix

Business Name

KRISTEN M JACOBS MD

Original Issue Date

01/10/2002

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

04/24/2023

Case Number

2013006026

Action

Fine

Discipline Start Date

10/17/2014

Discipline Reason

for ordering bulk compounded medications from a pharmacy for recurring in-office use.