CARLI JACK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017033

License Status

ACTIVE

Business

First Name

CARLI

Last Name

JACK

Business Name

CARLI JACK

Original Issue Date

09/28/2020

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/09/2024