MATTHEW BENJAMIN JACOBS 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

MATTHEW

Middle

BENJAMIN

Last Name

JACOBS

Business Name

MATTHEW BENJAMIN JACOBS MD

Original Issue Date

04/15/2022

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/29/2024