JEFFREY DANIEL JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140402

License Status

NOT RENEWED

Business

Title

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

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017