GINA MIRA JACOBSEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027370

License Status

ACTIVE

Business

First Name

GINA

Middle

MIRA

Last Name

JACOBSEN

Suffix

DDS

Business Name

GINA MIRA JACOBSEN DDS

Original Issue Date

05/29/2007

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

07/03/2024