ROBERT WAYNE JACEY MD - Medical Doctor License in Virginia | # 036041184

ROBERT WAYNE JACEY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041184

License Status

NOT RENEWED

Business

N

First Name

ROBERT WAYNE

Last Name

JACEY

Suffix

MD

Business Name

ROBERT WAYNE JACEY MD

Original Issue Date

07/28/1967

Effective Date

07/28/1967

Expiration Date

07/01/1982

State

VA

Ever Disciplined

N

LastModifiedDate

09/20/2006