AMITH GEORGE JACOB MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060764

License Status

EXPIRED

Business

Title

First Name

AMITH

Last Name

GEORGE JACOB

Business Name

AMITH GEORGE JACOB MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015