JORDAN L MANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069274

License Status

NOT RENEWED

Business

First Name

JORDAN L

Last Name

MANN

Suffix

Business Name

JORDAN L MANN MD

Original Issue Date

08/10/1984

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017