License holder summary

Gary Blayne Jacobs is a Medical - Physician licensed to practice in Colorado. The address on file for Gary Blayne Jacobs is 2711 Lake Hollow Road, Berthoud, CO, 80513-0513. This licensed professional license is not current. The license was granted 04/09/1992 and expired on 05/31/2011.

Colorado

Division of Professions and Occupations

Gary Blayne Jacobs
Medical - Physician
License number
31711
Date granted
04/09/1992
Date expires
05/31/2011
Class
Medical - Physician
Status
Expired
Address
2711 Lake Hollow Road, Berthoud, CO, 80513-0513
coloradolicensing.org
ID 27440290
LAST UPDATED 2024-04-01 13:15:09 UTC

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