JORGE RODRIGUEZ JORDA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

Title

DDS

First Name

JORGE

Last Name

RODRIGUEZ JORDA

Business Name

JORGE RODRIGUEZ JORDA DDS

Original Issue Date

06/13/2016

Effective Date

08/28/2018

Expiration Date

01/31/2022

City

VILLA PARK

State

Zip

60181

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022