MARK S JACOBS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

MARK S

Last Name

JACOBS

Suffix

DDS

Business Name

MARK S JACOBS DDS

Original Issue Date

09/15/1981

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/29/2024