DAVID JORDAN MANN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051289

License Status

CANCELLED

Business

First Name

DAVID

Middle

JORDAN

Last Name

MANN

Suffix

Business Name

DAVID JORDAN MANN MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

04/09/2007