JOB JACOB Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021573

License Status

CANCELLED

Business

First Name

JOB

Last Name

JACOB

Business Name

JOB JACOB

Original Issue Date

07/08/1987

Effective Date

07/08/1987

Expiration Date

07/20/1990

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006