BERNARD G JACKSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011831

License Status

INACTIVE

Business

First Name

BERNARD G

Last Name

JACKSON

Suffix

DDS

Business Name

BERNARD G JACKSON DDS

Original Issue Date

12/28/1960

Effective Date

12/28/1960

Expiration Date

09/30/1992

City

ROUND ROCK

State

Zip

78664

County

TEXAS

Ever Disciplined

LastModifiedDate

10/12/2005