GARY K JACOBSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

JACOBSON

Suffix

DDS

Business Name

GARY K JACOBSON DDS

Original Issue Date

10/22/1985

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

SCHAUMBURG

State

Zip

60193

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009