BRANDI ROCHELLE JACKSON Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001602

License Status

EXPIRED

Business

First Name

BRANDI

Middle

ROCHELLE

Last Name

JACKSON

Business Name

BRANDI ROCHELLE JACKSON

Original Issue Date

07/21/2006

Effective Date

07/21/2006

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018