DANA MARIE JACKSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033953

License Status

NOT RENEWED

Business

First Name

DANA

Middle

MARIE

Last Name

JACKSON

Business Name

DANA MARIE JACKSON

Original Issue Date

09/02/2022

Effective Date

09/02/2022

Expiration Date

09/30/2024

City

RICHMOND HILL

State

Zip

31324

Ever Disciplined

LastModifiedDate

02/04/2025