HOMER ALVERIO JORDAN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

CANCELLED

Business

Title

DDS

First Name

HOMER

Middle

ALVERIO

Last Name

JORDAN

Business Name

HOMER ALVERIO JORDAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006