DEBRA SUE JACKSON - Dentist License in Illinois | # 020003494

DEBRA SUE JACKSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003494

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022