JACOB GEORGE GROSELAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032102

License Status

ACTIVE

Business

First Name

JACOB

Middle

GEORGE

Last Name

GROSELAK

Business Name

JACOB GEORGE GROSELAK

Original Issue Date

05/22/2019

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/14/2024