JACOB STEVEN LEWIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030478

License Status

ACTIVE

Business

Title

DMD

First Name

JACOB

Middle

STEVEN

Last Name

LEWIS

Business Name

JACOB STEVEN LEWIS DMD

Original Issue Date

09/08/2015

Effective Date

05/24/2024

Expiration Date

09/30/2027

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

05/24/2024