JACOB ADAM CASSARO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

Title

DDS

First Name

JACOB

Middle

ADAM

Last Name

CASSARO

Business Name

JACOB ADAM CASSARO DDS

Original Issue Date

10/01/2022

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

DURAND

State

Zip

61024

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024