JACOB BRAD RABE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134161

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

BRAD

Last Name

RABE

Business Name

JACOB BRAD RABE MD

Original Issue Date

11/13/2013

Effective Date

11/13/2013

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014