JORDAN BLAKE BARNEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078322

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

BLAKE

Last Name

BARNEY

Business Name

JORDAN BLAKE BARNEY MD

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

06/25/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/22/2024