JORDAN ALEXANDER DALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137866

License Status

NOT RENEWED

Business

Title

First Name

JORDAN

Middle

ALEXANDER

Last Name

DALE

Business Name

JORDAN ALEXANDER DALE MD

Original Issue Date

04/27/2015

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023