OTTO LOUIS JACQUES Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083882

License Status

INACTIVE

Business

First Name

OTTO

Last Name

LOUIS JACQUES

Business Name

OTTO LOUIS JACQUES

Original Issue Date

12/27/1991

Effective Date

12/27/1991

Expiration Date

07/31/1993

City

SILVER SPRING

State

Zip

20902

Ever Disciplined

LastModifiedDate

02/21/2020