JASON WYETH KOOB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140037

License Status

NOT RENEWED

Business

First Name

JASON

Middle

WYETH

Last Name

KOOB

Suffix

Business Name

JASON WYETH KOOB MD

Original Issue Date

03/16/2016

Effective Date

03/16/2016

Expiration Date

07/31/2017

City

DANVILLE

State

Zip

94506

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017