JACOB STEVEN LEWIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

Title

DMD

First Name

JACOB

Middle

STEVEN

Last Name

LEWIS

Business Name

JACOB STEVEN LEWIS DMD

Original Issue Date

09/08/2015

Effective Date

05/24/2024

Expiration Date

09/30/2027

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2024