THOMAS EDWARD JACOBS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016725

License Status

NOT RENEWED

Business

First Name

THOMAS EDWARD

Last Name

JACOBS

Suffix

DDS

Business Name

THOMAS EDWARD JACOBS DDS

Original Issue Date

07/03/1979

Effective Date

07/03/1979

Expiration Date

09/30/1990

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005