EDMON Y JACOBSON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074119

License Status

INACTIVE

Business

First Name

EDMON Y

Last Name

JACOBSON

Business Name

EDMON Y JACOBSON

Original Issue Date

11/10/1986

Effective Date

11/10/1986

Expiration Date

07/31/1990

City

BROOKLINE

State

Zip

02167

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006