JORDAN TAYLOR GABRIELE Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002180

License Status

EXPIRED

Business

First Name

JORDAN

Middle

TAYLOR

Last Name

GABRIELE

Business Name

JORDAN TAYLOR GABRIELE

Original Issue Date

06/10/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

11/28/2022