JACOB THOMAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054640

License Status

EXPIRED

Business

Title

First Name

JACOB

Last Name

THOMAS

Business Name

JACOB THOMAS MD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

06/25/2011

City

MISHAWAKA

State

Zip

46545

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011