DALE GARY JACOBSON MD - Medical Doctor License in Wisconsin | # 036062281

DALE GARY JACOBSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062281

License Status

NOT RENEWED

Business

N

First Name

DALE GARY

Last Name

JACOBSON

Suffix

MD

Business Name

DALE GARY JACOBSON MD

Original Issue Date

06/16/1981

Effective Date

06/16/1981

Expiration Date

07/31/1987

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006