JACOB DISKIN MD - Medical Doctor License in Illinois | # 125073921

JACOB DISKIN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073921

License Status

EXPIRED

Business

N

Title

MD

First Name

JACOB

Last Name

DISKIN

Business Name

JACOB DISKIN MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2020

State

IL

Specialty/Qualifier

Transitional Year

Ever Disciplined

N

LastModifiedDate

11/19/2020