The information furnished at this web site is from the Office of Professions' official database. The Office of Professions considers this information to be a secure, primary source for license verification.
| Name | JACOBSON BURTON ROY |
|---|---|
| Address | HICKSVILLENY |
| Profession | DENTISTRY |
| License No | 015317 |
| Date of Licensure | 06/09/43 |
| Additional Qualification | |
| Status | INACTIVE |
| Registered through last day of |