SARAH ANN JACOBS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

First Name

SARAH

Middle

ANN

Last Name

JACOBS

Business Name

SARAH ANN JACOBS

Original Issue Date

09/29/2010

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024