NINA SARAH JACOBS Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104421

License Status

INACTIVE

Business

First Name

NINA

Middle

SARAH

Last Name

JACOBS

Business Name

NINA SARAH JACOBS

Original Issue Date

03/29/2001

Effective Date

03/29/2001

Expiration Date

07/31/2002

City

SCARSDALE

State

Zip

10583

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/28/2009