SARAH BETH JACOB MD - Medical Doctor License in Indiana | # 036141535

SARAH BETH JACOB MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141535

License Status

NOT RENEWED

Business

N

Title

MD

First Name

SARAH

Middle

BETH

Last Name

JACOB

Business Name

SARAH BETH JACOB MD

Original Issue Date

08/22/2016

Effective Date

08/22/2016

Expiration Date

07/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

11/01/2017