ALLEN M JACOBS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

ALLEN M

Last Name

JACOBS

Business Name

ALLEN M JACOBS

Original Issue Date

11/04/1987

Effective Date

11/04/1987

Expiration Date

01/31/1989

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006