SHAWN MATHEW JACOB MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074237

License Status

EXPIRED

Business

Title

First Name

SHAWN

Middle

MATHEW

Last Name

JACOB

Business Name

SHAWN MATHEW JACOB MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022