RICHARD ALLEN JACOBSON JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067326

License Status

EXPIRED

Business

Title

First Name

RICHARD

Middle

ALLEN

Last Name

JACOBSON

Suffix

Business Name

RICHARD ALLEN JACOBSON JR MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022