BRADLY PAUL JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125614

License Status

NOT RENEWED

Business

Title

First Name

BRADLY

Middle

PAUL

Last Name

JACOBS

Business Name

BRADLY PAUL JACOBS MD

Original Issue Date

04/29/2010

Effective Date

10/12/2011

Expiration Date

07/31/2014

City

MILL VALLEY

State

Zip

94941

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014