WILLIAM A JACOBS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000283

License Status

NOT RENEWED

Business

First Name

WILLIAM A

Last Name

JACOBS

Business Name

WILLIAM A JACOBS

Original Issue Date

02/27/1985

Effective Date

02/27/1985

Expiration Date

03/01/1988

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006