JORDAN BLOCHWITZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

JORDAN

Last Name

BLOCHWITZ

Business Name

JORDAN BLOCHWITZ

Original Issue Date

08/28/2023

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

BARTLETT

State

Zip

60103

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024