CIARA MYSTIC JACKSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016304

License Status

ACTIVE

Business

First Name

CIARA

Middle

MYSTIC

Last Name

JACKSON

Business Name

CIARA MYSTIC JACKSON

Original Issue Date

08/16/2018

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

MATTESON

State

Zip

60443

Ever Disciplined

LastModifiedDate

08/23/2024