JACOB SAMUEL DMD - Dentist License in Illinois | # 019032124

JACOB SAMUEL DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032124

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/17/2024