MARK B JACOB DDS - Dentist License in Illinois | # 137000560

MARK B JACOB DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000560

License Status

ACTIVE

Business

N

Title

DDS

First Name

MARK

Middle

B

Last Name

JACOB

Business Name

MARK B JACOB DDS

Original Issue Date

06/21/2002

Effective Date

05/29/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

05/29/2024