JORDYN A DRAKE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171403

License Status

ACTIVE

Business

Title

First Name

JORDYN

Middle

Last Name

DRAKE

Business Name

JORDYN A DRAKE DO

Original Issue Date

08/01/2024

Effective Date

08/01/2024

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/26/2024