ALEDA ANNE JACOBS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039370

License Status

CANCELLED

Business

First Name

ALEDA

Middle

ANNE

Last Name

JACOBS

Suffix

Business Name

ALEDA ANNE JACOBS MD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

07/18/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006