SODARAN P JACOB MD - Medical Doctor License in New Mexico | # 036082931

SODARAN P JACOB MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082931

License Status

NOT RENEWED

Business

N

First Name

SODARAN P

Last Name

JACOB

Suffix

MD

Business Name

SODARAN P JACOB MD

Original Issue Date

07/12/1991

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

NM

Ever Disciplined

N

LastModifiedDate

11/06/2008