ALFRED MAXWELL JACOBSEN DDS - Dentist License in California | # 019011173

ALFRED MAXWELL JACOBSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011173

License Status

NOT RENEWED

Business

N

First Name

ALFRED MAXWELL

Last Name

JACOBSEN

Suffix

DDS

Business Name

ALFRED MAXWELL JACOBSEN DDS

Original Issue Date

09/09/1957

Effective Date

09/09/1957

Expiration Date

09/30/1984

State

CA

Ever Disciplined

N

LastModifiedDate

10/12/2005