DANIEL R JACOBSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

DANIEL R

Last Name

JACOBSON

Suffix

Business Name

DANIEL R JACOBSON MD

Original Issue Date

09/28/1987

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023