AVRUM GERSON JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111024

License Status

NOT RENEWED

Business

First Name

AVRUM

Middle

GERSON

Last Name

JACOBS

Suffix

Business Name

AVRUM GERSON JACOBS MD

Original Issue Date

03/17/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008