ALLEGRA NIKKEL JACKSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009944

License Status

NOT RENEWED

Business

First Name

ALLEGRA

Middle

NIKKEL

Last Name

JACKSON

Business Name

ALLEGRA NIKKEL JACKSON

Original Issue Date

01/24/2001

Effective Date

01/24/2001

Expiration Date

09/30/2002

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005