PAUL CHRISTOPHER JACOBS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****18

License Status

NOT RENEWED

Business

First Name

PAUL CHRISTOPHER

Last Name

JACOBS

Business Name

PAUL CHRISTOPHER JACOBS

Original Issue Date

04/22/1996

Effective Date

05/06/2022

Expiration Date

03/31/2024

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025