JORDAN IAN TEITELBAUM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

IAN

Last Name

TEITELBAUM

Business Name

JORDAN IAN TEITELBAUM DO

Original Issue Date

04/30/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023