SCOTT R JACKSON DDS PC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016820

License Status

NOT RENEWED

Business

First Name

SCOTT R

Last Name

JACKSON DDS PC

Business Name

SCOTT R JACKSON DDS PC

Original Issue Date

07/13/1979

Effective Date

07/13/1979

Expiration Date

09/30/2004

City

CHANDLER

State

Zip

85226

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005