LAURENCE ALAN JACOBS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

LAURENCE

Middle

ALAN

Last Name

JACOBS

Business Name

LAURENCE ALAN JACOBS MD

Original Issue Date

01/01/1997

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/03/2025