ROBERT BRADLEY JACOB DDS - Dentist License in California | # 019015612

ROBERT BRADLEY JACOB DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015612

License Status

INACTIVE

Business

N

First Name

ROBERT BRADLEY

Last Name

JACOB

Suffix

DDS

Business Name

ROBERT BRADLEY JACOB DDS

Original Issue Date

07/13/1976

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

CA

Ever Disciplined

N

LastModifiedDate

07/24/2006