RUSSELL F JACOBY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071501

License Status

NOT RENEWED

Business

First Name

RUSSELL F

Last Name

JACOBY

Suffix

Business Name

RUSSELL F JACOBY MD

Original Issue Date

08/16/1985

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CAMERON PARK

State

Zip

95682

Ever Disciplined

LastModifiedDate

11/06/2008