JORDAN LEE GAVIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070884

License Status

CANCELLED

Business

Title

First Name

JORDAN

Middle

LEE

Last Name

GAVIN

Business Name

JORDAN LEE GAVIN MD

Original Issue Date

06/20/2017

Effective Date

06/20/2017

Expiration Date

06/19/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/20/2017