JACOB GINGLEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152539

License Status

ACTIVE

Business

Title

First Name

JACOB

Last Name

GINGLEN

Business Name

JACOB GINGLEN DO

Original Issue Date

04/10/2020

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/17/2023