JACOB LEE WERTZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

Title

DDS

First Name

JACOB

Middle

LEE

Last Name

WERTZ

Business Name

JACOB LEE WERTZ DDS

Original Issue Date

07/01/2014

Effective Date

07/09/2024

Expiration Date

09/30/2027

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2024