License holder summary

Sandy Jacob is a Physician licensed to practice in Indiana. The address on file for Sandy Jacob is Clinton Township MI 48038. This licensed professional license is not current. The license was granted 04/07/2008 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Sandy Jacob
Physician
License number
01065086A
Date granted
04/07/2008
Date expires
06/30/2011
Class
Physician
Status
Expired Non-Renewable
Address
Clinton Township MI 48038
indianalicensing.org
ID 6039402
LAST UPDATED 2024-02-27 15:13:36 UTC

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