IRA ALLEN JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

IRA

Middle

ALLEN

Last Name

JACOBS

Suffix

Business Name

IRA ALLEN JACOBS MD

Original Issue Date

04/04/2001

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014