NINA SARAH JACOBS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034464

License Status

EXPIRED

Business

First Name

NINA

Middle

SARAH

Last Name

JACOBS

Business Name

NINA SARAH JACOBS

Original Issue Date

07/01/1996

Effective Date

07/01/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006