MARILYN DENISE JACKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000327

License Status

NOT RENEWED

Business

First Name

MARILYN DENISE

Last Name

JACKSON

Suffix

DDS

Business Name

MARILYN DENISE JACKSON DDS

Original Issue Date

10/07/1992

Effective Date

09/21/2015

Expiration Date

09/30/2018

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/31/2018