ELIZABETH A JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

JACOBS

Suffix

Business Name

ELIZABETH A JACOBS MD

Original Issue Date

06/03/1998

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011