PAUL CHRISTOPHER JACOBS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****19

License Status

NOT RENEWED

Business

First Name

PAUL CHRISTOPHER

Last Name

JACOBS

Business Name

PAUL CHRISTOPHER JACOBS

Original Issue Date

11/19/1996

Effective Date

02/22/2016

Expiration Date

03/31/2018

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/19/2018