JONKER CASPER JACOBS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

JONKER

Middle

CASPER

Last Name

JACOBS

Business Name

JONKER CASPER JACOBS

Original Issue Date

07/13/2020

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60201

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024