GLENN C JACOBSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068596

License Status

INACTIVE

Business

First Name

GLENN C

Last Name

JACOBSEN

Suffix

Business Name

GLENN C JACOBSEN MD

Original Issue Date

05/03/1984

Effective Date

05/03/1984

Expiration Date

07/31/1987

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006