WILLIAM RICHARD JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

WILLIAM RICHARD

Last Name

JACOBS

Suffix

Business Name

WILLIAM RICHARD JACOBS MD

Original Issue Date

01/01/1997

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021