License holder summary

Dr. GLEN MIRANDILLA JACOB is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. GLEN MIRANDILLA JACOB is KAISER PERMANENTE LARGO MED CTR, 1221 MERCANTILE LN, LARGO, MD 20774. This doctor license is not current. The license was granted 09/09/1996 and expired on 10/01/2000.

Ohio

State Medical Board of Ohio

Dr. GLEN MIRANDILLA JACOB
Medical Board - 35.Doctor Of Medicine
License number
35.071000
Date granted
09/09/1996
Date expires
10/01/2000
Class
Medical Board - 35.Doctor Of Medicine
Status
Inactive
Address
KAISER PERMANENTE LARGO MED CTR, 1221 MERCANTILE LN, LARGO, MD 20774
doctorsohio.org
ID 28440152
LAST UPDATED 2024-02-16 22:59:13 UTC

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