JAKE ALLEN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077823

License Status

NOT RENEWED

Business

First Name

JAKE

Last Name

ALLEN JR

Suffix

Business Name

JAKE ALLEN JR MD

Original Issue Date

09/07/1988

Effective Date

09/07/1988

Expiration Date

07/31/1990

City

SAN FRANCISCO

State

Zip

94129

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

08/30/2007

Case Number

2007002714

Action

Refuse To Renew

Discipline Start Date

08/30/2007

Discipline Reason

after being disciplined in the state of Montana.