SUBIN M JACOB-GEORGE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005765

License Status

NOT RENEWED

Business

First Name

SUBIN

Middle

Last Name

JACOB-GEORGE

Business Name

SUBIN M JACOB-GEORGE

Original Issue Date

01/27/2016

Effective Date

02/26/2020

Expiration Date

03/01/2022

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022