AMIRAH JACKSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033905

License Status

NOT RENEWED

Business

Title

DMD

First Name

AMIRAH

Last Name

JACKSON

Business Name

AMIRAH JACKSON DMD

Original Issue Date

07/18/2022

Effective Date

07/18/2022

Expiration Date

09/30/2024

City

SHEPHERDSVILLE

State

Zip

40165

Ever Disciplined

LastModifiedDate

02/04/2025