PHILLIP ALLEN JACOBSON 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

PHILLIP ALLEN

Last Name

JACOBSON

Suffix

Business Name

PHILLIP ALLEN JACOBSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008