SUBIN M JACOB-GEORGE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

INOPERATIVE

Business

First Name

SUBIN

Middle

Last Name

JACOB-GEORGE

Business Name

SUBIN M JACOB-GEORGE

Original Issue Date

06/09/2016

Effective Date

02/26/2020

Expiration Date

03/01/2022

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022