JORDAN DAVID LANGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070769

License Status

EXPIRED

Business

Title

First Name

JORDAN

Middle

DAVID

Last Name

LANGE

Business Name

JORDAN DAVID LANGE MD

Original Issue Date

06/29/2017

Effective Date

06/29/2017

Expiration Date

06/28/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/19/2020