MARK B JACOB DDS - Dentist License in Illinois | # 021002059

MARK B JACOB DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002059

License Status

ACTIVE

Business

N

Title

DDS

First Name

MARK

Middle

B

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

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

05/29/2024