SCOTT R JACKSON DDS PC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

SCOTT R

Last Name

JACKSON DDS PC

Business Name

SCOTT R JACKSON DDS PC

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

PLANO

State

Zip

60545

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005