JACOB K OOMMEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122675

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

Last Name

OOMMEN

Business Name

JACOB K OOMMEN MD

Original Issue Date

02/24/2009

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

EDEN PRAIRIE

State

Zip

55344

County

TEXAS

Ever Disciplined

LastModifiedDate

11/30/2023