JACOB MICHAEL STEWART MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078501

License Status

CANCELLED

Business

Title

First Name

JACOB

Middle

MICHAEL

Last Name

STEWART

Business Name

JACOB MICHAEL STEWART MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

HARRISBURG

State

Zip

62946

County

SALINE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/26/2021