JORDAN SUZZANNE CARLISLE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016122

License Status

ACTIVE

Business

First Name

JORDAN

Middle

SUZZANNE

Last Name

CARLISLE

Business Name

JORDAN SUZZANNE CARLISLE

Original Issue Date

06/04/2018

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

09/26/2024