JACOB S OOMMEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087704

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

OOMMEN

Business Name

JACOB S OOMMEN

Original Issue Date

11/02/1993

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

SCOTTSDALE

State

Zip

85255

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/01/2017