SARAH BETH JACOB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

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

VINCENNES

State

Zip

47591

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017