BRADLY PAUL JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

BRADLY

Middle

PAUL

Last Name

JACOBS

Business Name

BRADLY PAUL JACOBS MD

Original Issue Date

05/04/2010

Effective Date

05/04/2010

Expiration Date

07/31/2011

City

SAN FRANCISCO

State

Zip

94121

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011