DORALIA A JACKSON DDS - Dentist License in Illinois | # 019022605

DORALIA A JACKSON DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022605

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

Y

LastModifiedDate

09/11/2024

Case Number

1994003460

Action

Refuse To Renew

Discipline Start Date

07/07/1994

Discipline End Date

02/22/1996

Discipline Reason

Defaulted on an Illinois Student Assistance loan.