GARY K JACOBSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014076

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

JACOBSON

Suffix

DDS

Business Name

GARY K JACOBSON DDS

Original Issue Date

07/08/1971

Effective Date

09/17/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016