JACKSON T KUO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000890

License Status

NOT RENEWED

Business

First Name

JACKSON

Middle

Last Name

KUO

Business Name

JACKSON T KUO

Original Issue Date

04/07/2014

Effective Date

09/02/2015

Expiration Date

09/30/2018

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/31/2018