ANSHU JACOB - Physician Assistant License in Illinois | # 085010976

ANSHU JACOB

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010976

License Status

ACTIVE

Business

N

First Name

ANSHU

Last Name

JACOB

Business Name

ANSHU JACOB

Original Issue Date

12/02/2024

Effective Date

12/02/2024

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025