ELIZABETH MARIE JACOBSEN Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005630

License Status

INACTIVE

Business

First Name

ELIZABETH

Middle

MARIE

Last Name

JACOBSEN

Business Name

ELIZABETH MARIE JACOBSEN

Original Issue Date

10/06/2014

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/07/2020