MICHAEL BRADLEY JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111668

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

BRADLEY

Last Name

JACOBS

Suffix

Business Name

MICHAEL BRADLEY JACOBS MD

Original Issue Date

06/23/2004

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

ROCKVILLE

State

Zip

20854

Ever Disciplined

LastModifiedDate

11/17/2014