EDMON Y JACOBSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017681

License Status

EXPIRED

Business

First Name

EDMON Y

Last Name

JACOBSON

Business Name

EDMON Y JACOBSON

Original Issue Date

10/03/1984

Effective Date

10/03/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006