KENNETH NORMAN JORDAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052185

License Status

NOT RENEWED

Business

First Name

KENNETH NORMAN

Last Name

JORDAN

Suffix

Business Name

KENNETH NORMAN JORDAN DO

Original Issue Date

11/21/1975

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

11/30/2023