JORDAN ASHLEY MONTGOMERY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016609

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

ASHLEY

Last Name

MONTGOMERY

Business Name

JORDAN ASHLEY MONTGOMERY

Original Issue Date

07/31/2019

Effective Date

10/26/2021

Expiration Date

09/30/2024

City

CEDAR LAKE

State

Zip

46303

County

LAKE

Ever Disciplined

LastModifiedDate

02/04/2025