DORALIA A JACKSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

ACTIVE

Business

First Name

DORALIA A

Last Name

JACKSON

Suffix

DDS

Business Name

DORALIA A JACKSON DDS

Original Issue Date

11/18/1991

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024