MARK B JACOB DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002059

License Status

ACTIVE

Business

Title

DDS

First Name

MARK

Middle

Last Name

JACOB

Business Name

MARK B JACOB DDS

Original Issue Date

10/21/2002

Effective Date

05/29/2024

Expiration Date

09/30/2027

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

05/29/2024