CRYSTAL ANN JACOVINO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174617

License Status

ACTIVE

Business

Title

First Name

CRYSTAL

Middle

ANN

Last Name

JACOVINO

Business Name

CRYSTAL ANN JACOVINO DO

Original Issue Date

04/11/2025

Effective Date

04/11/2025

Expiration Date

07/31/2026

City

TAMPA

State

Zip

33647

Ever Disciplined

LastModifiedDate

04/11/2025