ANN PLAMOOTTIL JACOB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063475

License Status

CANCELLED

Business

First Name

ANN

Middle

PLAMOOTTIL

Last Name

JACOB

Suffix

Business Name

ANN PLAMOOTTIL JACOB MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

BURR RIDGE

State

Zip

60527

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014