PRESTON ROBERT JACOB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150694

License Status

ACTIVE

Business

Title

First Name

PRESTON

Middle

ROBERT

Last Name

JACOB

Business Name

PRESTON ROBERT JACOB MD

Original Issue Date

09/09/2019

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/28/2023