LEWIS LEO JACOBSON MD - Medical Doctor License in Wisconsin | # 036033723

LEWIS LEO JACOBSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033723

License Status

NOT RENEWED

Business

N

First Name

LEWIS LEO

Last Name

JACOBSON

Suffix

MD

Business Name

LEWIS LEO JACOBSON MD

Original Issue Date

09/23/1955

Effective Date

09/23/1955

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006