CHRISTINA C JACOB - Dentist License in Illinois | # 019028116

CHRISTINA C JACOB

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028116

License Status

NOT RENEWED

Business

N

First Name

CHRISTINA

Middle

C

Last Name

JACOB

Business Name

CHRISTINA C JACOB

Original Issue Date

08/10/2009

Effective Date

08/19/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018