JACOB LAGENE RORABAUGH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

LAGENE

Last Name

RORABAUGH

Business Name

JACOB LAGENE RORABAUGH MD

Original Issue Date

08/07/2021

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023