RICHARD LEE JACOBS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040001

License Status

INACTIVE

Business

First Name

RICHARD LEE

Last Name

JACOBS

Suffix

Business Name

RICHARD LEE JACOBS MD

Original Issue Date

08/20/1965

Effective Date

08/20/1965

Expiration Date

07/31/1990

City

DELMAR

State

Zip

12054

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006