BRIAN J JACOBS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114383

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

JACOBS

Business Name

BRIAN J JACOBS

Original Issue Date

08/09/2005

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

04/18/2023