HOMER ALVERIO JORDAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010844

License Status

INACTIVE

Business

Title

DDS

First Name

HOMER

Middle

ALVERIO

Last Name

JORDAN

Business Name

HOMER ALVERIO JORDAN DDS

Original Issue Date

02/29/1956

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006