STANLEY JACKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011952

License Status

NOT RENEWED

Business

First Name

STANLEY

Last Name

JACKSON

Suffix

DDS

Business Name

STANLEY JACKSON DDS

Original Issue Date

08/02/1961

Effective Date

08/02/1961

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005