KRISTIN MICHELLE JACOBS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

KRISTIN

Middle

MICHELLE

Last Name

JACOBS

Business Name

KRISTIN MICHELLE JACOBS MD

Original Issue Date

10/30/2018

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

63010

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023