JACOB ELDON FRAZIER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

Title

DMD

First Name

JACOB

Middle

ELDON

Last Name

FRAZIER

Business Name

JACOB ELDON FRAZIER DMD

Original Issue Date

08/29/2011

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024