JACKSON M OMBABA MD - Medical Doctor License in Texas | # 036124485

JACKSON M OMBABA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124485

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JACKSON

Middle

M

Last Name

OMBABA

Business Name

JACKSON M OMBABA MD

Original Issue Date

10/08/2009

Effective Date

06/05/2014

Expiration Date

07/31/2017

State

TX

Ever Disciplined

N

LastModifiedDate

11/01/2017