ALFRED MAXWELL JACOBSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011173

License Status

NOT RENEWED

Business

First Name

ALFRED MAXWELL

Last Name

JACOBSEN

Suffix

DDS

Business Name

ALFRED MAXWELL JACOBSEN DDS

Original Issue Date

09/09/1957

Effective Date

09/09/1957

Expiration Date

09/30/1984

City

SAN MARINO

State

Zip

91108

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005