JORDAN LEE GAVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151044

License Status

NOT RENEWED

Business

Title

First Name

JORDAN

Middle

LEE

Last Name

GAVIN

Business Name

JORDAN LEE GAVIN MD

Original Issue Date

10/19/2019

Effective Date

05/13/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023