JOSEPH D JACKSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

First Name

JOSEPH

Middle

Last Name

JACKSON

Suffix

DMD

Business Name

JOSEPH D JACKSON DMD

Original Issue Date

08/30/2004

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024