MARK WILLIAM JACOB Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019193

License Status

ACTIVE

Business

First Name

MARK WILLIAM

Last Name

JACOB

Business Name

MARK WILLIAM JACOB

Original Issue Date

08/10/1984

Effective Date

06/12/2024

Expiration Date

09/30/2027

City

DEERFIELD

State

Zip

60015

County

COOK

Ever Disciplined

LastModifiedDate

06/12/2024