JACKIE D BRINKLEY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001669

License Status

INACTIVE

Business

First Name

JACKIE D

Last Name

BRINKLEY

Business Name

JACKIE D BRINKLEY

Original Issue Date

07/13/1972

Effective Date

07/13/1972

Expiration Date

09/30/2002

City

CLINTON

State

Zip

61727

County

DE WITT

Ever Disciplined

LastModifiedDate

10/17/2005