RYAN JEFFREY JACOBS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069309

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

JEFFREY

Last Name

JACOBS

Business Name

RYAN JEFFREY JACOBS MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAG

State

Zip

60612

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

06/21/2019