JACOB SAMUEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032124

License Status

ACTIVE

Business

Title

DMD

First Name

JACOB

Last Name

SAMUEL

Business Name

JACOB SAMUEL DMD

Original Issue Date

05/25/2019

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

09/17/2024