ROBERT BRADLEY JACOB DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015612

License Status

INACTIVE

Business

First Name

ROBERT BRADLEY

Last Name

JACOB

Suffix

DDS

Business Name

ROBERT BRADLEY JACOB DDS

Original Issue Date

07/13/1976

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SAN DIEGO

State

Zip

92111

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/24/2006