JORDAN TAYLOR STANDLEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070240

License Status

CANCELLED

Business

Title

First Name

JORDAN

Middle

TAYLOR

Last Name

STANDLEE

Business Name

JORDAN TAYLOR STANDLEE MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

02/25/2020