WYETH JESS JORDAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134726

License Status

ACTIVE

Business

Title

First Name

WYETH

Middle

JESS

Last Name

JORDAN

Business Name

WYETH JESS JORDAN DO

Original Issue Date

03/04/2014

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

07/11/2023