Indiana
Professional Licensing Agency
Brian Anthony Jacobs
Physician
License number
01044402A
Date granted
10/26/1995
Date expires
10/31/2015
Class
Physician
Status
Active
Address
South Bend IN 46635
indianalicensing.org
ID 6100655
LAST UPDATED 2024-02-13 00:58:46 UTC
LAST UPDATED 2024-02-13 00:58:46 UTC
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