Jethro Black Jr

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019021708

Status

Revoked or denied (Revoked)

First issued

August 25, 1989

Expired

September 30, 1996

License holder

Jethro Black Jr

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/25/1989

Ever disciplined

Yes

Discipline case

1996004241

Discipline action

Probation

Discipline reason

Restored and Placed on Probation.

Discipline dates

12/28/2004

Discipline action

Suspension

Discipline reason

Found guilty of one count of aggravated criminal sexual abuse.

Discipline dates

08/07/1996 to 01/11/2012

Discipline case

2011011160

Discipline action

Revocation

Discipline reason

due to requirement as part of a criminal sentence to register under the Sex Offender Registration Act.

Discipline dates

01/11/2012

Other Illinois licenses under this name

• IL
  Jethro Black Jr

  License 018000388

  Temporary Dental Training License
  Expired

  East St Louis, IL

  Expired Jun 30, 1990
• IL
  Jethro Black Jr

  License 31*****59

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Venice, IL

  Expired Sep 30, 1996

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