DAVID KERWIN JACOBS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069896

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

KERWIN

Last Name

JACOBS

Business Name

DAVID KERWIN JACOBS MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

ROYAL OAK

State

Zip

48073

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

11/19/2020