KRISTEN A JACKSON - Dentist License in Illinois | # 020016929

KRISTEN A JACKSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016929

License Status

NOT RENEWED

Business

N

First Name

KRISTEN

Middle

A

Last Name

JACKSON

Business Name

KRISTEN A JACKSON

Original Issue Date

08/27/2020

Effective Date

09/12/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025