MARK B JACOB DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

ACTIVE

Business

Title

DDS

First Name

MARK

Middle

Last Name

JACOB

Business Name

MARK B JACOB DDS

Original Issue Date

09/01/1992

Effective Date

05/29/2024

Expiration Date

09/30/2027

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2024