Jacqueline Jo Blackburn
ExpiredIllinois license 020016263
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020016263
- Status
- Expired (Not Renewed)
- First issued
- August 6, 2018
- Expired
- January 31, 2022
- License holder
- Jacqueline Jo Blackburn
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/06/2018
Contact
Laguna Hills, CA 92653