JORDAN NICOLE SMITH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015975

License Status

ACTIVE

Business

First Name

JORDAN

Middle

NICOLE

Last Name

SMITH

Business Name

JORDAN NICOLE SMITH

Original Issue Date

08/31/2017

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/02/2024