EUNICE JACOB-CHARLY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001280

License Status

EXPIRED

Business

Title

First Name

EUNICE

Last Name

JACOB-CHARLY

Business Name

EUNICE JACOB-CHARLY DO

Original Issue Date

04/29/2019

Effective Date

04/29/2019

Expiration Date

05/28/2019

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Specialty/Qualifier

Orthopaedic Sports Medicine

Ever Disciplined

LastModifiedDate

07/18/2019