Gina Mira Jacobsen Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****12

Status

Expired (Not Renewed)

First issued

May 30, 2013

Expired

September 30, 2018

License holder

Gina Mira Jacobsen Dds

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Specialty

Practitioner

Controlled substance schedules

II III IV V

Current term began

08/07/2015

Other Illinois licenses under this name

• IL
  Gina Mira Jacobsen Dds

  License 019027370

  Licensed Dentist (Dental)
  Active

  Oswego, IL

  Expires Sep 30, 2027
• IL
  Gina Mira Jacobsen Dds

  License 31*****56

  Licensed Dentist Controlled Substance (Dental)
  Active

  Oswego, IL

  Expires Sep 30, 2027

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