ELIZABETH C JACKSA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015473

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

JACKSA

Business Name

ELIZABETH C JACKSA

Original Issue Date

07/01/2016

Effective Date

09/19/2018

Expiration Date

01/31/2022

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

05/09/2022