Edmund Doromal Jacob

Medical Board - 57.Md Training Certificate

Ohio  57.018213   Inactive

This Ohio license was held by Edmund Doromal Jacob. The license is no longer active. It was granted on 10/15/2010 and expired on 06/30/2012

LICENSE DETAILS

  • License Number: 57.018213
  • Category: 57.MD Training Certificate
  • Status: Inactive
  • Date Granted: 10/15/2010 (over 13 years ago)
  • Expiry Date: 06/30/2012 (almost 12 years ago)

LOCATIONS

A Practice Address

Wright State University, c/o Internal Medicine Dept, P.O. Box 927, Dayton, OH 45401