IVY BROOKLYNN JORDAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018043

License Status

ACTIVE

Business

First Name

IVY

Middle

BROOKLYNN

Last Name

JORDAN

Business Name

IVY BROOKLYNN JORDAN

Original Issue Date

08/02/2023

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

09/22/2024