JORDON SCOTT MARSHALL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131111

License Status

NOT RENEWED

Business

Title

First Name

JORDON

Middle

SCOTT

Last Name

MARSHALL

Business Name

JORDON SCOTT MARSHALL DO

Original Issue Date

08/09/2012

Effective Date

08/09/2012

Expiration Date

07/31/2014

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/17/2014