CLYDE TYRONE JACOB III MD - Medical Doctor License in Georgia | # 036097872

CLYDE TYRONE JACOB III MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097872

License Status

NOT RENEWED

Business

N

First Name

CLYDE

Middle

TYRONE

Last Name

JACOB

Suffix

III MD

Business Name

CLYDE TYRONE JACOB III MD

Original Issue Date

05/26/1998

Effective Date

05/26/1998

Expiration Date

07/31/2002

State

GA

Ever Disciplined

N

LastModifiedDate

02/03/2026