LEIGH ANN JACKSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010819

License Status

ACTIVE

Business

First Name

LEIGH

Middle

ANN

Last Name

JACKSON

Business Name

LEIGH ANN JACKSON

Original Issue Date

10/06/2003

Effective Date

07/02/2024

Expiration Date

09/30/2027

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/02/2024