JACOB C HALVORSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067478

License Status

EXPIRED

Business

Title

First Name

JACOB

Middle

Last Name

HALVORSEN

Business Name

JACOB C HALVORSEN DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/25/2018