SARAH BETH JACOB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141535

License Status

NOT RENEWED

Business

Title

First Name

SARAH

Middle

BETH

Last Name

JACOB

Business Name

SARAH BETH JACOB MD

Original Issue Date

08/22/2016

Effective Date

08/22/2016

Expiration Date

07/31/2017

City

EVANSVILLE

State

Zip

47714

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017