JUDITH LYNN JACOBUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137174

License Status

NOT RENEWED

Business

Title

First Name

JUDITH

Middle

LYNN

Last Name

JACOBUS

Business Name

JUDITH LYNN JACOBUS MD

Original Issue Date

01/27/2015

Effective Date

01/27/2015

Expiration Date

07/31/2017

City

QUEENS VILLAGE

State

Zip

11429

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017