License holder summary

MACK WILLIAM JACOB IV is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for MACK WILLIAM JACOB IV is NEW YORK NY. This doctor license is not current. The license was granted 04/15/2004.

New York

Office of the Professions

MACK WILLIAM JACOB IV
Medicine (Physician, Including M Ds & D Os)
License number
232007
Date granted
04/15/2004
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
NEW YORK NY
nymedicine.org
ID 30209568
LAST UPDATED 2024-02-08 01:45:12 UTC

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