JORDAN ERIC SPENCER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000595

License Status

ACTIVE

Business

First Name

JORDAN

Middle

ERIC

Last Name

SPENCER

Suffix

DDS

Business Name

JORDAN ERIC SPENCER DDS

Original Issue Date

09/03/2003

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62294

County

MADISON

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

06/03/2024