Indiana
Professional Licensing Agency
Melissa Ann Jacobs
Physician
License number
01061868A
Date granted
03/14/2006
Date expires
10/31/2013
Class
Physician
Status
Active
Address
Portland OR 97201
indianalicensing.org
ID 6094523
LAST UPDATED 2024-02-23 22:11:22 UTC
LAST UPDATED 2024-02-23 22:11:22 UTC
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