ALAN JORDAN MICEV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058602

License Status

CANCELLED

Business

Title

First Name

ALAN

Middle

JORDAN

Last Name

MICEV

Business Name

ALAN JORDAN MICEV MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

04/08/2010