JACOB TAIT DEMASTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150680

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

TAIT

Last Name

DEMASTER

Business Name

JACOB TAIT DEMASTER DO

Original Issue Date

09/06/2019

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

OOSTBURG

State

Zip

53070

Ever Disciplined

LastModifiedDate

08/01/2023