PAULA I JACOBSEN Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****41

License Status

ACTIVE

Business

First Name

PAULA I

Last Name

JACOBSEN

Business Name

PAULA I JACOBSEN

Original Issue Date

04/17/1996

Effective Date

01/12/2026

Expiration Date

03/31/2028

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/12/2026