Jacob D Surjan Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****44

Status

Inactive

First issued

November 20, 2006

Expired

December 31, 2021

License holder

Jacob D Surjan 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

08/15/2018

Other Illinois licenses under this name

• IL
  Jacob D Surjan Dds

  License 019027120

  Licensed Dentist (Dental)
  Inactive

  Broomfield, CO

  Expired Dec 31, 2021
• IL
  Jacob D Surjan Dds

  License 021002904

  Licensed Specialist in Dentistry (Dental)
  Inactive

  Broomfield, CO

  Expired Dec 31, 2021

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