WAYNE STEVEN JACOBSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

WAYNE STEVEN

Last Name

JACOBSON

Suffix

DDS

Business Name

WAYNE STEVEN JACOBSON DDS

Original Issue Date

01/01/1998

Effective Date

12/08/2021

Expiration Date

09/30/2024

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025