ALLYSON FLORA JACOBSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044745

License Status

EXPIRED

Business

First Name

ALLYSON

Middle

FLORA

Last Name

JACOBSON

Suffix

Business Name

ALLYSON FLORA JACOBSON MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2007

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/03/2007