ALBERT LEVERN JACKSON DDS - Dentist License in Illinois | # 019011493

ALBERT LEVERN JACKSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011493

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

ALBERT

Middle

LEVERN

Last Name

JACKSON

Business Name

ALBERT LEVERN JACKSON DDS

Original Issue Date

08/05/1959

Effective Date

09/28/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012