JACOB BENJAMIN MANUEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121298

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

BENJAMIN

Last Name

MANUEL

Business Name

JACOB BENJAMIN MANUEL MD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011