BENJAMIN JOHN JACOBS MD - Medical Doctor License in Washington | # 036117999

BENJAMIN JOHN JACOBS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117999

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

JOHN

Last Name

JACOBS

Suffix

MD

Business Name

BENJAMIN JOHN JACOBS MD

Original Issue Date

04/03/2007

Effective Date

05/02/2011

Expiration Date

07/31/2014

State

WA

Ever Disciplined

N

LastModifiedDate

11/17/2014