SAVEYA R JACKSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010930

License Status

NOT RENEWED

Business

First Name

SAVEYA

Middle

Last Name

JACKSON

Business Name

SAVEYA R JACKSON

Original Issue Date

06/18/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

11/08/2006