SUSAN JACOB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110462

License Status

ACTIVE

Business

Title

First Name

SUSAN

Last Name

JACOB

Business Name

SUSAN JACOB MD

Original Issue Date

11/17/2003

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/01/2023