License holder summary

LYLE ALLEN JACOBS is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for LYLE ALLEN JACOBS is PROVO, UT 84604. This licensed professional license is not current. The license was granted 07/05/1966 and expired on 11/07/1996.

Utah

Division of Occupational and Professional Licensing

LYLE ALLEN JACOBS
Physician - Physician & Surgeon
License number
148836-1205
Date granted
07/05/1966
Date expires
11/07/1996
Class
Physician - Physician & Surgeon
Status
Expired
Address
PROVO, UT 84604
utahlicensing.org
ID 29929208
LAST UPDATED 2024-04-02 07:07:00 UTC

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