DEBRA SUE JACKSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003494

License Status

NOT RENEWED

Business

First Name

DEBRA SUE

Last Name

JACKSON

Business Name

DEBRA SUE JACKSON

Original Issue Date

06/20/1978

Effective Date

08/14/2018

Expiration Date

01/31/2022

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

05/09/2022