BRIAN JOSEPH JORDAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064123

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

JOSEPH

Last Name

JORDAN

Business Name

BRIAN JOSEPH JORDAN MD

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

10/02/2019