JACOB S OOMMEN - Medical Doctor License in Arizona | # 036087704

JACOB S OOMMEN

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087704

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

S

Last Name

OOMMEN

Business Name

JACOB S OOMMEN

Original Issue Date

11/02/1993

Effective Date

07/01/2014

Expiration Date

07/31/2017

State

AZ

Ever Disciplined

N

LastModifiedDate

11/01/2017