LARRY KEITH JORDAN MD - Medical Doctor License in Minnesota | # 036124642

LARRY KEITH JORDAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124642

License Status

NOT RENEWED

Business

N

First Name

LARRY

Middle

KEITH

Last Name

JORDAN

Suffix

MD

Business Name

LARRY KEITH JORDAN MD

Original Issue Date

11/19/2009

Effective Date

09/08/2020

Expiration Date

07/31/2023

State

MN

Ever Disciplined

N

LastModifiedDate

11/30/2023