LEWIS LEO JACOBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033723

License Status

NOT RENEWED

Business

First Name

LEWIS LEO

Last Name

JACOBSON

Suffix

Business Name

LEWIS LEO JACOBSON MD

Original Issue Date

09/23/1955

Effective Date

09/23/1955

City

EAGLE RIVER

State

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006