JACOB LARSEN WHITE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086986

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

LARSEN

Last Name

WHITE

Business Name

JACOB LARSEN WHITE DO

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

06/24/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/24/2025