JACOB GEORGE EIDE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068277

License Status

EXPIRED

Business

Title

First Name

JACOB

Middle

GEORGE

Last Name

EIDE

Business Name

JACOB GEORGE EIDE MD

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

06/22/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/11/2022