JORDAN THOMAS JOHNSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161418

License Status

NOT RENEWED

Business

Title

First Name

JORDAN

Middle

THOMAS

Last Name

JOHNSON

Business Name

JORDAN THOMAS JOHNSON DO

Original Issue Date

07/13/2022

Effective Date

07/13/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023