JON M JACOBY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

JON M

Last Name

JACOBY

Suffix

Business Name

JON M JACOBY MD

Original Issue Date

06/15/1993

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023