DORALIA A JACKSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022605

License Status

ACTIVE

Business

First Name

DORALIA A

Last Name

JACKSON

Suffix

DDS

Business Name

DORALIA A JACKSON DDS

Original Issue Date

09/13/1991

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2024

Case Number

1994003460

Action

Probation

Discipline Start Date

02/22/1996

Discipline End Date

09/26/2007

Discipline Reason

Defaulted on an Illinois Student Assistance loan.