GERALD HENRY JORDAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000215

License Status

EXPIRED

Business

First Name

GERALD

Middle

HENRY

Last Name

JORDAN

Suffix

Business Name

GERALD HENRY JORDAN MD

Original Issue Date

12/17/2003

Effective Date

12/17/2003

Expiration Date

07/26/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006