JORDAN JACOB NEVIACKAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137972

License Status

NOT RENEWED

Business

Title

First Name

JORDAN

Middle

JACOB

Last Name

NEVIACKAS

Business Name

JORDAN JACOB NEVIACKAS MD

Original Issue Date

05/11/2015

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021