GENEVA LYNN JACOBS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056610

License Status

EXPIRED

Business

Title

First Name

GENEVA

Middle

LYNN

Last Name

JACOBS

Business Name

GENEVA LYNN JACOBS MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/07/2013