LAWRENCE DAVID JACOBS MD
Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )
Illinois 336066156 Canceled
This Illinois license was held by LAWRENCE DAVID JACOBS MD. The license is no longer active. It was granted on 09/12/2001 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336066156
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE (Schedules II III IIN IIIN IV V )
- Status: Canceled
- Date Granted: 09/12/2001 (over 23 years ago)
- Expiry Date: 07/31/2005 (over 19 years ago)
LOCATIONS
A Address
BUFFALO, NY 14216