ERIC G JACKSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

First Name

ERIC

Middle

Last Name

JACKSON

Suffix

DDS

Business Name

ERIC G JACKSON DDS

Original Issue Date

06/03/2005

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024