GREGORY WAYNE JACKSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014876

License Status

INACTIVE

Business

First Name

GREGORY WAYNE

Last Name

JACKSON

Suffix

DDS

Business Name

GREGORY WAYNE JACKSON DDS

Original Issue Date

07/17/1974

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2021