JANAE JORDAN GONZALES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

JANAE

Middle

JORDAN

Last Name

GONZALES

Business Name

JANAE JORDAN GONZALES MD

Original Issue Date

07/26/2021

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023