JACOB W MEGGISON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

Title

DDS

First Name

JACOB

Middle

Last Name

MEGGISON

Business Name

JACOB W MEGGISON DDS

Original Issue Date

05/12/2010

Effective Date

05/12/2010

Expiration Date

09/30/2012

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012