JORDAN C BLOCK DDS - Dentist License in Illinois | # 019012883

JORDAN C BLOCK DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012883

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012