JORDAN M ALVIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080142

License Status

CANCELLED

Business

Title

First Name

JORDAN

Middle

Last Name

ALVIA

Business Name

JORDAN M ALVIA MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

WAUKEGAN

State

Zip

60087

County

LAKE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/17/2025