ANN PLAMOOTTIL JACOB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139288

License Status

ACTIVE

Business

First Name

ANN

Middle

PLAMOOTTIL

Last Name

JACOB

Suffix

Business Name

ANN PLAMOOTTIL JACOB MD

Original Issue Date

10/23/2015

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/24/2023