JORDAN C BLOCK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012883

License Status

INACTIVE

Business

First Name

JORDAN C

Last Name

BLOCK

Suffix

DDS

Business Name

JORDAN C BLOCK DDS

Original Issue Date

07/29/1966

Effective Date

09/16/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2012