JASON JON CARLSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030301

License Status

ACTIVE

Business

First Name

JASON

Middle

JON

Last Name

CARLSON

Business Name

JASON JON CARLSON

Original Issue Date

07/16/2015

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/03/2024