JACOB BENJAMIN REDEKOP MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037404

License Status

INACTIVE

Business

First Name

JACOB BENJAMIN

Last Name

REDEKOP

Suffix

Business Name

JACOB BENJAMIN REDEKOP MD

Original Issue Date

09/21/1961

Effective Date

09/21/1961

Expiration Date

07/31/1987

City

TUCSON

State

Zip

85716

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006