JORDAN ERIC SPENCER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

First Name

JORDAN

Middle

ERIC

Last Name

SPENCER

Suffix

DDS

Business Name

JORDAN ERIC SPENCER DDS

Original Issue Date

08/06/2001

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62294

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2024