MICHAEL B JACOBSON - Medical Doctor License in Illinois | # 036109556

MICHAEL B JACOBSON

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109556

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

B

Last Name

JACOBSON

Business Name

MICHAEL B JACOBSON

Original Issue Date

06/26/2003

Effective Date

06/26/2003

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006