MYLES JORDAN HASTINGS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031605

License Status

ACTIVE

Business

First Name

MYLES

Middle

JORDAN

Last Name

HASTINGS

Business Name

MYLES JORDAN HASTINGS

Original Issue Date

06/04/2018

Effective Date

05/28/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/28/2024