JEFFREY RANDALL JACOBSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

RANDALL

Last Name

JACOBSON

Suffix

Business Name

JEFFREY RANDALL JACOBSON MD

Original Issue Date

07/06/2005

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023