KATHLEEN ELAINE JACKS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009632

License Status

INACTIVE

Business

First Name

KATHLEEN

Middle

ELAINE

Last Name

JACKS

Business Name

KATHLEEN ELAINE JACKS

Original Issue Date

09/24/1999

Effective Date

09/24/1999

Expiration Date

09/30/2002

City

WESTERVILLE

State

Zip

43081

Ever Disciplined

LastModifiedDate

10/17/2005