GARY MICHAEL JACOBSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029402

License Status

EXPIRED

Business

First Name

GARY MICHAEL

Last Name

JACOBSON

Suffix

Business Name

GARY MICHAEL JACOBSON MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006