JORDY B WHALEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079854

License Status

NOT RENEWED

Business

First Name

JORDY B

Last Name

WHALEN

Suffix

Business Name

JORDY B WHALEN DO

Original Issue Date

04/24/1990

Effective Date

04/24/1990

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006