AVRUM GERSON JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

AVRUM

Middle

GERSON

Last Name

JACOBS

Suffix

Business Name

AVRUM GERSON JACOBS MD

Original Issue Date

03/17/2004

Effective Date

03/17/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60636

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008