BARRY R JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

BARRY R

Last Name

JACOBS

Suffix

Business Name

BARRY R JACOBS MD

Original Issue Date

10/23/1989

Effective Date

10/23/1989

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006