JACOB ALEXANDER RESHETAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080944

License Status

EXPIRED

Business

Title

First Name

JACOB

Middle

ALEXANDER

Last Name

RESHETAR

Business Name

JACOB ALEXANDER RESHETAR MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/03/2025