JOE FORD JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

JOE FORD

Last Name

JACOBS

Suffix

Business Name

JOE FORD JACOBS MD

Original Issue Date

08/04/1982

Effective Date

07/31/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60626

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021