TAYLOR NICOLE JACKSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

Title

DDS

First Name

TAYLOR

Middle

NICOLE

Last Name

JACKSON

Business Name

TAYLOR NICOLE JACKSON DDS

Original Issue Date

06/23/2025

Effective Date

06/23/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2025