JORDAN BLAKE BARNEY MD - Medical Doctor License in Illinois | # 125078322

JORDAN BLAKE BARNEY MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078322

License Status

ACTIVE

Business

N

Title

MD

First Name

JORDAN

Middle

BLAKE

Last Name

BARNEY

Business Name

JORDAN BLAKE BARNEY MD

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

06/25/2026

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

03/22/2024