MARK STEFAN JACOBSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020022

License Status

ACTIVE

Business

First Name

MARK STEFAN

Last Name

JACOBSON

Business Name

MARK STEFAN JACOBSON

Original Issue Date

03/20/1986

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

LEXINGTON

State

Zip

40509

County

KENTUCKY

Ever Disciplined

LastModifiedDate

05/06/2024