CLYDE TYRONE JACOB III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097872

License Status

NOT RENEWED

Business

First Name

CLYDE

Middle

TYRONE

Last Name

JACOB

Suffix

III MD

Business Name

CLYDE TYRONE JACOB III MD

Original Issue Date

05/26/1998

Effective Date

05/26/1998

Expiration Date

07/31/2002

City

DULUTH

State

Zip

30097

County

FULTON

Ever Disciplined

LastModifiedDate

02/03/2026