JEFFREY DANIEL JACOBS MD - Medical Doctor License in Illinois | # 036140402

JEFFREY DANIEL JACOBS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140402

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JEFFREY

Middle

DANIEL

Last Name

JACOBS

Business Name

JEFFREY DANIEL JACOBS MD

Original Issue Date

04/15/2016

Effective Date

04/15/2016

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017