JORDAN SESTAK BRUCE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066620

License Status

EXPIRED

Business

Title

First Name

JORDAN

Last Name

SESTAK BRUCE

Business Name

JORDAN SESTAK BRUCE MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016