THEODORE MICHAEL JACKSON DMD - Dentist License in Ohio | # 019026503

THEODORE MICHAEL JACKSON DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026503

License Status

ACTIVE

Business

N

First Name

THEODORE

Middle

MICHAEL

Last Name

JACKSON

Suffix

DMD

Business Name

THEODORE MICHAEL JACKSON DMD

Original Issue Date

07/01/2004

Effective Date

08/26/2024

Expiration Date

09/30/2027

State

OH

Ever Disciplined

N

LastModifiedDate

08/26/2024