JEFFREY RANDALL JACOBSON MD Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097002621

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

RANDALL

Last Name

JACOBSON

Suffix

Business Name

JEFFREY RANDALL JACOBSON MD

Original Issue Date

09/13/2024

Effective Date

01/09/2025

Expiration Date

12/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

OTHER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

01/09/2025