JORDAN RICHELLE SHADE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015216

License Status

ACTIVE

Business

First Name

JORDAN

Middle

RICHELLE

Last Name

SHADE

Business Name

JORDAN RICHELLE SHADE

Original Issue Date

08/04/2015

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

TROY

State

Zip

63379

Ever Disciplined

LastModifiedDate

08/29/2024