MICHAEL I JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138357

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

JACOBS

Business Name

MICHAEL I JACOBS MD

Original Issue Date

06/17/2015

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

NEW YORK

State

Zip

10065

Ever Disciplined

LastModifiedDate

11/30/2023