MERLE WILLIAM JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

MERLE

Middle

WILLIAM

Last Name

JACOBS

Business Name

MERLE WILLIAM JACOBS MD

Original Issue Date

01/01/1997

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

QUINCY

State

Zip

62305

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017