ADAM BARNETT JORDAN DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001563

License Status

EXPIRED

Business

First Name

ADAM

Middle

BARNETT

Last Name

JORDAN

Suffix

DMD

Business Name

ADAM BARNETT JORDAN DMD

Original Issue Date

08/08/2005

Effective Date

06/30/2006

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/03/2007