HANNAH MICHAELA JORDAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

HANNAH

Middle

MICHAELA

Last Name

JORDAN

Business Name

HANNAH MICHAELA JORDAN DO

Original Issue Date

07/23/2024

Effective Date

07/23/2024

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024