SHELBY ELLIS JACKSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034067

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/13/2024