BAILEY NORMAN JACOBSON DDS - Dentist License in Illinois | # 021000369

BAILEY NORMAN JACOBSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000369

License Status

NOT RENEWED

Business

N

First Name

BAILEY NORMAN

Last Name

JACOBSON

Suffix

DDS

Business Name

BAILEY NORMAN JACOBSON DDS

Original Issue Date

11/21/1962

Effective Date

06/21/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

02/08/2016