SULLIVAN JACKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010240

License Status

NOT RENEWED

Business

First Name

SULLIVAN

Last Name

JACKSON

Suffix

DDS

Business Name

SULLIVAN JACKSON DDS

Original Issue Date

01/05/1953

Effective Date

01/05/1953

Expiration Date

09/30/1986

City

SELMA

State

Zip

36701

County

ALABAMA

Ever Disciplined

LastModifiedDate

10/12/2005