License holder summary

Dr. MARK DAVID JACOBSON is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MARK DAVID JACOBSON is Radisphere Beachwood OH 44122. This licensed professional license is not current. The license was granted 01/07/2011 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

Dr. MARK DAVID JACOBSON
Board Of Medicine
License number
M-11195
Date granted
01/07/2011
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
Radisphere Beachwood OH 44122
idaholicensing.com
ID 48329427
LAST UPDATED 2024-04-27 09:25:14 UTC

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