KENNETH W JORDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086666

License Status

NOT RENEWED

Business

First Name

KENNETH W

Last Name

JORDAN

Suffix

Business Name

KENNETH W JORDAN MD

Original Issue Date

07/01/1993

Effective Date

07/01/1993

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2017