KORIE LYNN JACKSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016016

License Status

ACTIVE

Business

First Name

KORIE

Middle

LYNN

Last Name

JACKSON

Business Name

KORIE LYNN JACKSON

Original Issue Date

10/30/2017

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

MANSFIELD

State

Zip

61854

County

PIATT

Ever Disciplined

LastModifiedDate

09/10/2024