SCOTT A JACOBSEN Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000465

License Status

EXPIRED

Business

First Name

SCOTT

Middle

Last Name

JACOBSEN

Business Name

SCOTT A JACOBSEN

Original Issue Date

10/02/2000

Effective Date

10/02/2000

Expiration Date

06/30/2001

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/25/2006