JACOB J WORMS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035195

License Status

ACTIVE

Business

Title

DMD

First Name

JACOB

Middle

Last Name

WORMS

Business Name

JACOB J WORMS DMD

Original Issue Date

06/07/2024

Effective Date

06/07/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

04/02/2025