KENNETH BERNARD JORDAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077263

License Status

CANCELLED

Business

Title

First Name

KENNETH

Middle

BERNARD

Last Name

JORDAN

Business Name

KENNETH BERNARD JORDAN MD

Original Issue Date

12/07/2020

Effective Date

12/07/2020

Expiration Date

12/06/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/27/2020