JACKIE THOMAS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006759

License Status

ACTIVE

Business

First Name

JACKIE

Last Name

THOMAS

Business Name

JACKIE THOMAS

Original Issue Date

08/10/1988

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2024