BRYAN PAUL JACOBS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

Title

DMD

First Name

BRYAN

Middle

PAUL

Last Name

JACOBS

Business Name

BRYAN PAUL JACOBS DMD

Original Issue Date

08/26/2013

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024