JACOB MICHAEL NIEB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075479

License Status

CANCELLED

Business

Title

First Name

JACOB

Middle

MICHAEL

Last Name

NIEB

Business Name

JACOB MICHAEL NIEB MD

Original Issue Date

06/30/2023

Effective Date

06/30/2023

Expiration Date

06/29/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/05/2023