JEFFREY T JACOB Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028089

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

JACOB

Business Name

JEFFREY T JACOB

Original Issue Date

07/16/2009

Effective Date

08/03/2015

Expiration Date

09/30/2018

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/31/2018