JACOB SHLEMA LAKE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

JACOB SHLEMA

Last Name

LAKE

Business Name

JACOB SHLEMA LAKE

Original Issue Date

01/01/1998

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024