TRENT JORDAN AUGUSTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071722

License Status

EXPIRED

Business

Title

First Name

TRENT

Middle

JORDAN

Last Name

AUGUSTON

Business Name

TRENT JORDAN AUGUSTON MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022