ANDREW DAVID JORDAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

First Name

ANDREW

Middle

DAVID

Last Name

JORDAN

Suffix

DDS

Business Name

ANDREW DAVID JORDAN DDS

Original Issue Date

09/06/2002

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024