RICHARD A JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048289

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

JACOBS

Suffix

Business Name

RICHARD A JACOBS MD

Original Issue Date

09/19/1973

Effective Date

09/19/1973

Expiration Date

07/31/1987

City

MOSCOW

State

Zip

83843

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006