ALBERT LEVERN JACKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011493

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012