MICHAEL I JACOBS
Physician/surgeon


Address: 407 E 70th St, New York, NY 10021

MICHAEL I JACOBS (Credential# 545388) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.

Business Overview

MICHAEL I JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025287. The credential type is physician/surgeon. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is 407 E 70th St, New York, NY 10021. The current status is inactive.

Basic Information

Licensee Name MICHAEL I JACOBS
Credential ID 545388
Credential Number 1.025287
Credential Type Physician/Surgeon
Business Address 407 E 70th St
New York
NY 10021
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-02-21
Effective Date 2016-01-01
Expiration Date 2016-12-31
Refresh Date 2017-04-05

Office Location

Street Address 407 E 70TH ST
City NEW YORK
State NY
Zip Code 10021

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Jean P Simon 36 E 70 Th Street, New York, NY 10021 Physician/surgeon 2020-07-01 ~ 2021-06-30
Todd James Albert 541 East 71st Street, New York, NY 10021 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City NEW YORK
Zip Code 10021
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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