JORDAN ELLIOTT WEIS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

Title

DMD

First Name

JORDAN

Middle

ELLIOTT

Last Name

WEIS

Business Name

JORDAN ELLIOTT WEIS DMD

Original Issue Date

07/20/2015

Effective Date

05/13/2019

Expiration Date

01/31/2022

City

HOLTS SUMMIT

State

Zip

65043

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022