License holder summary

MARYANN PRAKASH JACOB is a Medicine - Medical Doctor Educational Limited licensed to practice in Michigan. This medical licensee license is current. The license was granted 05/15/2015 and expired on 06/30/2016.

Department of Licensing and Regulatory Affairs

Board of Medicine

MARYANN PRAKASH JACOB
Medicine - Medical Doctor Educational Limited
License number
4301107515
Date granted
05/15/2015
Date expires
06/30/2016
Class
Medicine - Medical Doctor Educational Limited
Status
Active
Address
michiganmedical.net
ID 38966172
LAST UPDATED 2024-04-11 06:07:18 UTC

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