JORDAN JAMES KOCZENASZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084750

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

JAMES

Last Name

KOCZENASZ

Business Name

JORDAN JAMES KOCZENASZ MD

Original Issue Date

06/22/2024

Effective Date

06/22/2024

Expiration Date

06/21/2027

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/20/2024