JACOB ROBERT CROSS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

ROBERT

Last Name

CROSS

Business Name

JACOB ROBERT CROSS MD

Original Issue Date

08/22/2022

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023