JEFFREY T JACOB - Dentist License in Illinois | # 019028089

JEFFREY T JACOB

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028089

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

T

Last Name

JACOB

Business Name

JEFFREY T JACOB

Original Issue Date

07/16/2009

Effective Date

08/03/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018