ALI BEN-JACOB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103319

License Status

NOT RENEWED

Business

First Name

ALI

Last Name

BEN-JACOB

Suffix

Business Name

ALI BEN-JACOB MD

Original Issue Date

08/22/2000

Effective Date

08/22/2000

Expiration Date

07/31/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/24/2016