ANISHA JACOB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083099

License Status

ACTIVE

Business

Title

First Name

ANISHA

Last Name

JACOB

Business Name

ANISHA JACOB MD

Original Issue Date

05/01/2024

Effective Date

05/01/2024

Expiration Date

04/30/2027

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology - Anatomic and Clinical

Ever Disciplined

LastModifiedDate

01/06/2024