SODARAN P JACOB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082931

License Status

NOT RENEWED

Business

First Name

SODARAN P

Last Name

JACOB

Suffix

Business Name

SODARAN P JACOB MD

Original Issue Date

07/12/1991

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FARMINGTON

State

Zip

87401

Ever Disciplined

LastModifiedDate

11/06/2008