LEE MICHAEL JORDAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065273

License Status

EXPIRED

Business

Title

First Name

LEE

Middle

MICHAEL

Last Name

JORDAN

Business Name

LEE MICHAEL JORDAN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017