JACQUELYN L RICHARDSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026572

License Status

ACTIVE

Business

First Name

JACQUELYN

Middle

Last Name

RICHARDSON

Suffix

DDS

Business Name

JACQUELYN L RICHARDSON DDS

Original Issue Date

08/31/2004

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/27/2024