TERRANCE LORNE JACKSON DMD - Dentist License in Illinois | # 019033509

TERRANCE LORNE JACKSON DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033509

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2024