Theodore Michael Jackson Dmd
ActiveIllinois license 019026503
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019026503
- Status
- Active
- First issued
- July 1, 2004
- Expires
- September 30, 2027
- License holder
- Theodore Michael Jackson Dmd
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/26/2024
Contact
Columbus, OH 43201