JACOB CAINE DACHMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

First Name

JACOB

Middle

CAINE

Last Name

DACHMAN

Business Name

JACOB CAINE DACHMAN

Original Issue Date

06/01/2023

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024