DANIEL S JACOB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

Last Name

JACOB

Business Name

DANIEL S JACOB MD

Original Issue Date

09/09/2022

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/25/2023