JACOB SHOHAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000158

License Status

EXPIRED

Business

First Name

JACOB

Last Name

SHOHAM

Business Name

JACOB SHOHAM

Original Issue Date

06/12/2002

Effective Date

06/12/2002

Expiration Date

12/12/2002

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006