Jacob D Surjan Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019027120

Status

Inactive

First issued

June 29, 2006

Expired

December 31, 2021

License holder

Jacob D Surjan Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/15/2018

Other Illinois licenses under this name

• IL
  Jacob D Surjan Dds

  License 021002904

  Licensed Specialist in Dentistry (Dental)
  Inactive

  Broomfield, CO

  Expired Dec 31, 2021
• IL
  Jacob D Surjan Dds

  License 31*****44

  Licensed Dentist Controlled Substance (Dental)
  Inactive

  Chicago, IL

  Expired Dec 31, 2021

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