JACOB PHILIP DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

ACTIVE

Business

Title

DDS

First Name

JACOB

Last Name

PHILIP

Business Name

JACOB PHILIP DDS

Original Issue Date

06/19/2014

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2024