EGILL LARS JACOBSEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001281

License Status

INACTIVE

Business

First Name

EGILL

Middle

LARS

Last Name

JACOBSEN

Business Name

EGILL LARS JACOBSEN

Original Issue Date

08/28/1986

Effective Date

08/22/2018

Expiration Date

01/31/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

LastModifiedDate

01/04/2022