ANSHU JACOB Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010976

License Status

ACTIVE

Business

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

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

12/03/2025