JORDAN CHRISTOPHER PHEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

ACTIVE

Business

Title

DDS

First Name

JORDAN

Middle

CHRISTOPHER

Last Name

PHEN

Business Name

JORDAN CHRISTOPHER PHEN DDS

Original Issue Date

07/10/2025

Effective Date

07/10/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2025