THOMAS JACKSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

THOMAS

Last Name

JACKSON

Suffix

DDS

Business Name

THOMAS JACKSON DDS

Original Issue Date

01/14/2004

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024