MARIANNE ELIZABETH JACKSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016884

License Status

ACTIVE

Business

First Name

MARIANNE

Middle

ELIZABETH

Last Name

JACKSON

Business Name

MARIANNE ELIZABETH JACKSON

Original Issue Date

08/10/2020

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/30/2024