JACOB WILLIAM JARZEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

Title

DMD

First Name

JACOB

Middle

WILLIAM

Last Name

JARZEN

Business Name

JACOB WILLIAM JARZEN DMD

Original Issue Date

12/03/2021

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024