JEFFREY RANDALL JACOBSON MD - Pharmacist License in Illinois | # 097002621

JEFFREY RANDALL JACOBSON MD

Business Entity

ACTIVE

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097002621

License Status

ACTIVE

Business

N

First Name

JEFFREY

Middle

RANDALL

Last Name

JACOBSON

Suffix

MD

Business Name

JEFFREY RANDALL JACOBSON MD

Original Issue Date

09/13/2024

Effective Date

01/09/2025

Expiration Date

12/31/2026

State

IL

Specialty/Qualifier

OTHER

Controlled Substance Schedule

III

Ever Disciplined

N

LastModifiedDate

01/09/2025