LAWRENCE THOMAS JACOBS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

LAWRENCE THOMAS

Last Name

JACOBS

Suffix

DDS

Business Name

LAWRENCE THOMAS JACOBS DDS

Original Issue Date

01/01/1998

Effective Date

04/19/2022

Expiration Date

09/30/2024

City

RIVER GROVE

State

Zip

60171

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025