JENSEN JACOB VAYALIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085286

License Status

ACTIVE

Business

Title

First Name

JENSEN

Middle

JACOB

Last Name

VAYALIL

Business Name

JENSEN JACOB VAYALIL MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/22/2025