ANN PLAMOOTTIL JACOB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

ANN

Middle

PLAMOOTTIL

Last Name

JACOB

Suffix

Business Name

ANN PLAMOOTTIL JACOB MD

Original Issue Date

10/23/2015

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023