KRISTIN MICHELLE JACOBS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060168

License Status

EXPIRED

Business

Title

First Name

KRISTIN

Middle

MICHELLE

Last Name

JACOBS

Business Name

KRISTIN MICHELLE JACOBS MD

Original Issue Date

06/27/2014

Effective Date

06/27/2014

Expiration Date

06/26/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/04/2015