LILLY CLAIRE JORDAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072776

License Status

CANCELLED

Business

Title

First Name

LILLY

Middle

CLAIRE

Last Name

JORDAN

Business Name

LILLY CLAIRE JORDAN MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/04/2018