JORDAN ANDREW NASENBENY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081412

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

ANDREW

Last Name

NASENBENY

Business Name

JORDAN ANDREW NASENBENY MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/26/2023