TERRANCE LORNE JACKSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033509

License Status

ACTIVE

Business

Title

DMD

First Name

TERRANCE

Middle

LORNE

Last Name

JACKSON

Business Name

TERRANCE LORNE JACKSON DMD

Original Issue Date

02/14/2022

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2024