DEBRA K JACKSON MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022053

License Status

NOT RENEWED

Business

Title

First Name

DEBRA K

Last Name

JACKSON

Business Name

DEBRA K JACKSON MD

Original Issue Date

07/17/1990

Effective Date

07/17/1990

Expiration Date

09/30/1994

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/12/2005