GARTH R JACOBSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107801

License Status

INACTIVE

Business

First Name

GARTH

Middle

Last Name

JACOBSEN

Suffix

Business Name

GARTH R JACOBSEN MD

Original Issue Date

09/09/2002

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

RANCHO SANTA FE

State

Zip

92067

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/08/2014