ALEXANDER CHARLES JACOBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139006

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDER

Middle

CHARLES

Last Name

JACOBS

Business Name

ALEXANDER CHARLES JACOBS MD

Original Issue Date

08/25/2015

Effective Date

08/25/2015

Expiration Date

07/31/2017

City

SHOREWOOD

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017