MARK C JACOBSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024930

License Status

EXPIRED

Business

First Name

MARK C

Last Name

JACOBSON

Suffix

Business Name

MARK C JACOBSON MD

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/19/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006