JACOB DAVID RUDOLPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084632

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

DAVID

Last Name

RUDOLPH

Business Name

JACOB DAVID RUDOLPH MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/14/2024