JACOB MARK BURDETT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160720

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

MARK

Last Name

BURDETT

Business Name

JACOB MARK BURDETT DO

Original Issue Date

05/31/2022

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

BALA CYNWYD

State

Zip

19004

Ever Disciplined

LastModifiedDate

07/06/2025