JAMES CLARKE JORDAN FAIRFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131345

License Status

NOT RENEWED

Business

Title

First Name

JAMES CLARKE

Middle

JORDAN

Last Name

FAIRFIELD

Business Name

JAMES CLARKE JORDAN FAIRFIELD MD

Original Issue Date

09/10/2012

Effective Date

09/10/2012

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014