License holder summary

DOUGLASS L JACKSON JR is a Dentistry - Anesthesia Permit - Unrestricted licensed to practice in Pennsylvania. The address on file for DOUGLASS L JACKSON JR is SHORELINE WA 98133. This licensed professional license is not current. The license was granted 07/01/1991 and expired on 03/31/2003.

Pennsylvania

Department of State

DOUGLASS L JACKSON JR
Dentistry - Anesthesia Permit - Unrestricted
License number
DA025540A
Date granted
07/01/1991
Date expires
03/31/2003
Class
Dentistry - Anesthesia Permit - Unrestricted
Status
Inactive
Address
SHORELINE WA 98133
palicensing.org
ID 16539993
LAST UPDATED 2024-04-08 22:56:52 UTC

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