WILLIAM T JACKSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

WILLIAM T

Last Name

JACKSON

Business Name

WILLIAM T JACKSON

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005