IRA ALLEN JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104341

License Status

NOT RENEWED

Business

First Name

IRA

Middle

ALLEN

Last Name

JACOBS

Suffix

Business Name

IRA ALLEN JACOBS MD

Original Issue Date

03/14/2001

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

ROSELAND

State

Zip

07068

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2013005884

Action

Surrender In Lieu Of Other Discipline

Discipline Start Date

11/08/2013

Discipline Reason

for prior discipline by the state of New Jersey, Pennsylvania and California.