EVAN JACKSON SHORT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034032

License Status

ACTIVE

Business

Title

DDS

First Name

EVAN

Middle

JACKSON

Last Name

SHORT

Business Name

EVAN JACKSON SHORT DDS

Original Issue Date

12/23/2022

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

08/30/2024

Case Number

2022009816

Action

Reprimand

Discipline Start Date

12/08/2022

Discipline Reason

dental license issued with reprimand due to sister-state violations in Colorado and Iowa.