JACKSON M OMBABA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124485

License Status

NOT RENEWED

Business

Title

First Name

JACKSON

Middle

Last Name

OMBABA

Business Name

JACKSON M OMBABA MD

Original Issue Date

10/08/2009

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

SAN ANTONIO

State

Zip

78260

County

TEXAS

Ever Disciplined

LastModifiedDate

11/01/2017