Ophelia Faye Jackson Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019026369

Status

Expired (Not Renewed)

First issued

April 15, 2004

Expired

September 30, 2018

License holder

Ophelia Faye Jackson Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

10/19/2016

Other Illinois licenses under this name

• IL
  Ophelia Faye Jackson Dds

  License 31*****21

  Licensed Dentist Controlled Substance (Dental)
  Expired

  New York, NY

  Expired Sep 30, 2018

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