JACKIE JACKSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011794

License Status

ACTIVE

Business

First Name

JACKIE

Last Name

JACKSON

Business Name

JACKIE JACKSON

Original Issue Date

07/07/2006

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

DURAND

State

Zip

61024

Ever Disciplined

LastModifiedDate

09/16/2024