GREGORY S JACOB Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

First Name

GREGORY S

Last Name

JACOB

Business Name

GREGORY S JACOB

Original Issue Date

08/22/1985

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2025