SHELBY ELLIS JACKSON - Dentist License in Illinois | # 019034067

SHELBY ELLIS JACKSON

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034067

License Status

ACTIVE

Business

N

First Name

SHELBY

Middle

ELLIS

Last Name

JACKSON

Business Name

SHELBY ELLIS JACKSON

Original Issue Date

01/25/2023

Effective Date

05/01/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/13/2024