JACOB EDWARD COFFEY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031476

License Status

ACTIVE

Business

First Name

JACOB

Middle

EDWARD

Last Name

COFFEY

Business Name

JACOB EDWARD COFFEY

Original Issue Date

12/21/2017

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2024