JORDAN RUSSELL STERN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054781

License Status

CANCELLED

Business

Title

First Name

JORDAN

Middle

RUSSELL

Last Name

STERN

Business Name

JORDAN RUSSELL STERN MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/29/2009