GREGORY WAYNE JACKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001099

License Status

NOT RENEWED

Business

First Name

GREGORY WAYNE

Last Name

JACKSON

Suffix

DDS

Business Name

GREGORY WAYNE JACKSON DDS

Original Issue Date

06/11/1981

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

05/09/2022