TIMOTHY W JACOBS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025413

License Status

EXPIRED

Business

First Name

TIMOTHY W

Last Name

JACOBS

Suffix

Business Name

TIMOTHY W JACOBS DO

Original Issue Date

06/11/1990

Effective Date

06/11/1990

Expiration Date

06/30/1993

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006