JEANINE K JACKSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003998

License Status

NOT RENEWED

Business

First Name

JEANINE K

Last Name

JACKSON

Business Name

JEANINE K JACKSON

Original Issue Date

09/05/1979

Effective Date

09/05/1979

Expiration Date

04/01/1982

City

HINSDALE

State

Zip

60521

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005