DANIEL PATRICK JACOBS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040236

License Status

EXPIRED

Business

First Name

DANIEL

Middle

PATRICK

Last Name

JACOBS

Suffix

Business Name

DANIEL PATRICK JACOBS MD

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

06/17/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006