PHILLIP A JACOBSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

PHILLIP A

Last Name

JACOBSON

Suffix

Business Name

PHILLIP A JACOBSON MD

Original Issue Date

01/30/1995

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60203

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023