GARTH R JACOBSEN MD - Medical Doctor License in California | # 036107801

GARTH R JACOBSEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107801

License Status

INACTIVE

Business

N

First Name

GARTH

Middle

R

Last Name

JACOBSEN

Suffix

MD

Business Name

GARTH R JACOBSEN MD

Original Issue Date

09/09/2002

Effective Date

07/18/2011

Expiration Date

07/31/2014

State

CA

Ever Disciplined

N

LastModifiedDate

04/08/2014