License holder summary

Mary Anne Jacob is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Mary Anne Jacob is 6545 France Ave. S, Suite 540, Edina, MN 55435. This doctor license is current. The license was granted 09/11/1999 and expired on 11/30/2014.

Department of Safety and Professional Services

Board of Medical Practice

Mary Anne Jacob
Medical - Physician And Surgeon
License number
41934
Date granted
09/11/1999
Date expires
11/30/2014
Class
Medical - Physician And Surgeon
Status
Active
Address
6545 France Ave. S, Suite 540, Edina, MN 55435
doctorsminnesota.org
ID 22227859
LAST UPDATED 2024-03-10 14:21:33 UTC

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