JACOB S LEE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118391

License Status

INACTIVE

Business

First Name

JACOB

Middle

Last Name

LEE

Suffix

Business Name

JACOB S LEE MD

Original Issue Date

05/14/2007

Effective Date

05/14/2007

Expiration Date

07/31/2008

City

NORTHFIELD

State

Zip

08225

Ever Disciplined

LastModifiedDate

04/17/2008