JORDAN MICHAEL ELLIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031635

License Status

ACTIVE

Business

First Name

JORDAN

Middle

MICHAEL

Last Name

ELLIS

Business Name

JORDAN MICHAEL ELLIS

Original Issue Date

06/04/2018

Effective Date

08/17/2024

Expiration Date

09/30/2027

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

08/17/2024