JAKE K PHILIP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

Title

DDS

First Name

JAKE

Middle

Last Name

PHILIP

Business Name

JAKE K PHILIP DDS

Original Issue Date

08/03/2020

Effective Date

08/03/2020

Expiration Date

01/31/2022

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026