BLUM, JACOB, MD
Medical - Physician
Georgia 042793 Lapsed
This Georgia license was held by BLUM, JACOB, MD. The license is no longer active. It was granted on 12/05/1996 and expired on 12/31/2005
LICENSE DETAILS
- License Number: 042793
- Category: Physician
- Status: Lapsed
- Date Granted: 12/05/1996 (over 28 years ago)
- Expiry Date: 12/31/2005 (over 19 years ago)
LOCATIONS
A Address
LYNDON FAMILY MEDICINE, PSC | 8013 NEW LAGRANGE ROAD, Louisville 40222