JACOB EDWARD POSTULA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

JACOB

Middle

EDWARD

Last Name

POSTULA

Business Name

JACOB EDWARD POSTULA

Original Issue Date

11/15/2022

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024