JACOB DAVID ECCLES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166977

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

DAVID

Last Name

ECCLES

Business Name

JACOB DAVID ECCLES MD

Original Issue Date

09/12/2023

Effective Date

09/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/01/2023