JACOB ARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

INACTIVE

Business

Title

First Name

JACOB

Last Name

ARK

Business Name

JACOB ARK MD

Original Issue Date

04/11/2018

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63141

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020