License Directory

Ophelia Faye Jackson Dds

Expired

Illinois license 31*****21

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
31*****21
Status
Expired (Not Renewed)
First issued
September 13, 2004
Expired
September 30, 2018
License holder
Ophelia Faye Jackson Dds
Entity type
Individual

Classifications

  • Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules
II III IV V
Current term began
10/19/2016

Other Illinois licenses under this name

Contact

New York, NY 10011
New York County