DEBORAH LYNN JACOBSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140152

License Status

INACTIVE

Business

Title

First Name

DEBORAH

Middle

LYNN

Last Name

JACOBSON

Business Name

DEBORAH LYNN JACOBSON MD

Original Issue Date

03/25/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

SALT LAKE CITY

State

Zip

84111

Ever Disciplined

LastModifiedDate

04/05/2020