JOURDAN RUSSELL GOTTLIEB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057395

License Status

NOT RENEWED

Business

First Name

JOURDAN RUSSELL

Last Name

GOTTLIEB

Suffix

Business Name

JOURDAN RUSSELL GOTTLIEB MD

Original Issue Date

03/08/1979

Effective Date

03/08/1979

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006