RYAN JEFFREY JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

JEFFREY

Last Name

JACOBS

Business Name

RYAN JEFFREY JACOBS MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

07/31/2023

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023