KENNETH ERICH JACOBY Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

KENNETH ERICH

Last Name

JACOBY

Business Name

KENNETH ERICH JACOBY

Original Issue Date

07/07/1982

Effective Date

12/10/2024

Expiration Date

01/31/2027

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2024