DAWN A JACKSON-BREEDEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

DAWN A

Last Name

JACKSON-BREEDEN

Suffix

DMD

Business Name

DAWN A JACKSON-BREEDEN DMD

Original Issue Date

02/13/2004

Effective Date

09/01/2024

Expiration Date

09/30/2027

City

BENTON

State

Zip

62918

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/01/2024