NANCY BULLOCK JACOB Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038004267

License Status

INACTIVE

Business

First Name

NANCY BULLOCK

Last Name

JACOB

Business Name

NANCY BULLOCK JACOB

Original Issue Date

01/08/1981

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

MANITO

State

Zip

61546

County

MASON

Ever Disciplined

LastModifiedDate

04/05/2020