License holder summary

Stacy Diane Jacobson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Stacy Diane Jacobson is 1002 5th St NE, Rochester, MN 55906. This doctor license is not current. The license was granted 09/12/1998 and expired on 11/30/2003.

Department of Safety and Professional Services

Board of Medical Practice

Stacy Diane Jacobson
Medical - Physician And Surgeon
License number
40966
Date granted
09/12/1998
Date expires
11/30/2003
Class
Medical - Physician And Surgeon
Status
Canceled
Address
1002 5th St NE, Rochester, MN 55906
doctorsminnesota.org
ID 22227949
LAST UPDATED 2024-04-16 07:10:06 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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