MARIT L JACOB Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011588

License Status

ACTIVE

Business

First Name

MARIT

Middle

Last Name

JACOB

Business Name

MARIT L JACOB

Original Issue Date

02/23/2006

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/21/2024