DANIEL PATRICK JACOBS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106151

License Status

INACTIVE

Business

First Name

DANIEL

Middle

PATRICK

Last Name

JACOBS

Suffix

Business Name

DANIEL PATRICK JACOBS MD

Original Issue Date

01/24/2002

Effective Date

01/24/2002

Expiration Date

07/31/2005

City

ENFIELD

State

Zip

03748

County

NEW HAMPSHIRE

Ever Disciplined

LastModifiedDate

10/09/2006