CAROLYN IRENE JACOB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

CAROLYN

Middle

IRENE

Last Name

JACOB

Suffix

Business Name

CAROLYN IRENE JACOB MD

Original Issue Date

04/25/2000

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023