CAROLYN IRENE JACOB MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033567

License Status

EXPIRED

Business

First Name

CAROLYN

Middle

IRENE

Last Name

JACOB

Suffix

Business Name

CAROLYN IRENE JACOB MD

Original Issue Date

06/26/1995

Effective Date

06/26/1995

Expiration Date

06/20/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006