Robert Bradley Jacob Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019015612

Status

Inactive

First issued

July 13, 1976

Expired

September 30, 2006

License holder

Robert Bradley Jacob Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

09/30/2004

Other Illinois licenses under this name

• IL
  Robert Bradley Jacob Dds

  License 31*****62

  Licensed Dentist Controlled Substance (Dental)
  Inactive

  Skokie, IL

  Expired Jun 1, 1982

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