MEGAN S JACOBS

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****01

NOT RENEWED

N

MEGAN

S

JACOBS

MEGAN S JACOBS

07/05/2006

09/29/2020

07/31/2023

LOS ANGELES

CA

90066

COOK

II III IV V

N

11/30/2023