JORDAN RAYMOND SIMONOVICH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

Title

DMD

First Name

JORDAN

Middle

RAYMOND

Last Name

SIMONOVICH

Business Name

JORDAN RAYMOND SIMONOVICH DMD

Original Issue Date

06/17/2014

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024