JORDAN IAN TEITELBAUM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152684

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

IAN

Last Name

TEITELBAUM

Business Name

JORDAN IAN TEITELBAUM DO

Original Issue Date

04/22/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023