JACOB BENNETT KAGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167729

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

BENNETT

Last Name

KAGAN

Business Name

JACOB BENNETT KAGAN MD

Original Issue Date

11/20/2023

Effective Date

11/20/2023

Expiration Date

07/31/2026

City

WATERTOWN

State

Zip

02472

Ever Disciplined

LastModifiedDate

07/22/2023