JACOB DOUGLAS WARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085561

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

DOUGLAS

Last Name

WARD

Business Name

JACOB DOUGLAS WARD MD

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

06/25/2028

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/08/2025