ALEXANDER CHARLES JACOBS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062483

License Status

CANCELLED

Business

Title

First Name

ALEXANDER

Middle

CHARLES

Last Name

JACOBS

Business Name

ALEXANDER CHARLES JACOBS MD

Original Issue Date

08/16/2012

Effective Date

08/16/2012

Expiration Date

08/15/2015

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014