JACOB DANIEL GRODSKY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173027

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

DANIEL

Last Name

GRODSKY

Business Name

JACOB DANIEL GRODSKY MD

Original Issue Date

12/12/2024

Effective Date

12/12/2024

Expiration Date

07/31/2026

City

NEW ORLEANS

State

Zip

70121

Ever Disciplined

LastModifiedDate

12/12/2024