EGILL LARS JACOBSEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018454

License Status

INACTIVE

Business

First Name

EGILL

Middle

LARS

Last Name

JACOBSEN

Business Name

EGILL LARS JACOBSEN

Original Issue Date

01/17/1983

Effective Date

08/22/2018

Expiration Date

01/31/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/04/2022