LAWRENCE DAVID JACOBS MD - Medical Doctor License in New York | # 036104673

LAWRENCE DAVID JACOBS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104673

License Status

INACTIVE

Business

N

First Name

LAWRENCE

Middle

DAVID

Last Name

JACOBS

Suffix

MD

Business Name

LAWRENCE DAVID JACOBS MD

Original Issue Date

05/11/2001

Effective Date

05/11/2001

Expiration Date

07/31/2005

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006