License holder summary

Prema Mariam Jacob is a Medical - Physician licensed to practice in Colorado. The address on file for Prema Mariam Jacob is Big Thompson Medical Group, Pc, Family Practice Associates-914 W 6th St, Loveland, CO, 80537-0537. This licensed professional license is current. The license was granted 08/31/2005 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Prema Mariam Jacob
Medical - Physician
License number
43958
Date granted
08/31/2005
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
Big Thompson Medical Group, Pc, Family Practice Associates-914 W 6th St, Loveland, CO, 80537-0537
coloradolicensing.org
ID 27417179
LAST UPDATED 2024-05-04 02:32:05 UTC

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