CHRISTINA C JACOB Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028116

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

Last Name

JACOB

Business Name

CHRISTINA C JACOB

Original Issue Date

08/10/2009

Effective Date

08/19/2015

Expiration Date

09/30/2018

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018