GLENN EDWARD JACKSON DDS - Dentist License in Illinois | # 019010018

GLENN EDWARD JACKSON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010018

License Status

INACTIVE

Business

N

First Name

GLENN EDWARD

Last Name

JACKSON

Suffix

DDS

Business Name

GLENN EDWARD JACKSON DDS

Original Issue Date

09/26/1951

Effective Date

09/26/1951

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005