SUMANAS WANANT JORDAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140399

License Status

ACTIVE

Business

First Name

SUMANAS

Middle

WANANT

Last Name

JORDAN

Suffix

Business Name

SUMANAS WANANT JORDAN MD

Original Issue Date

04/15/2016

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023