ADDISON JACOBS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178029

License Status

ACTIVE

Business

Title

First Name

ADDISON

Last Name

JACOBS

Business Name

ADDISON JACOBS MD

Original Issue Date

11/20/2025

Effective Date

11/20/2025

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/18/2025