SANDRA N JACKSON DENT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130166

License Status

NOT RENEWED

Business

Title

First Name

SANDRA

Middle

Last Name

JACKSON DENT

Business Name

SANDRA N JACKSON DENT MD

Original Issue Date

04/20/2012

Effective Date

06/16/2017

Expiration Date

09/30/2020

City

LAWRENCEVILLE

State

Zip

30045

County

GEORGIA

Ever Disciplined

LastModifiedDate

01/14/2021