MICHAEL STEVEN JACK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032499

License Status

ACTIVE

Business

Title

DDS

First Name

MICHAEL

Middle

STEVEN

Last Name

JACK

Business Name

MICHAEL STEVEN JACK DDS

Original Issue Date

02/18/2020

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

TROY

State

Zip

48085

Ever Disciplined

LastModifiedDate

05/01/2024