CAROLYN IRENE JACOB MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000416

License Status

EXPIRED

Business

First Name

CAROLYN

Middle

IRENE

Last Name

JACOB

Suffix

Business Name

CAROLYN IRENE JACOB MD

Original Issue Date

08/13/1998

Effective Date

08/13/1998

Expiration Date

09/23/1998

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006