REENU MARIAM JACOB Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010889

License Status

ACTIVE

Business

First Name

REENU

Middle

MARIAM

Last Name

JACOB

Business Name

REENU MARIAM JACOB

Original Issue Date

10/07/2024

Effective Date

10/07/2024

Expiration Date

03/01/2026

City

LISLE

State

Zip

60532

County

ADAMS

Ever Disciplined

LastModifiedDate

12/03/2025