DANIEL PATRICK JACOBS MD - Medical Doctor License in Illinois | # 125040236

DANIEL PATRICK JACOBS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040236

License Status

EXPIRED

Business

N

First Name

DANIEL

Middle

PATRICK

Last Name

JACOBS

Suffix

MD

Business Name

DANIEL PATRICK JACOBS MD

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

06/17/2002

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006