TAMAJAH MARIE JORDAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

TAMAJAH

Middle

MARIE

Last Name

JORDAN

Suffix

Business Name

TAMAJAH MARIE JORDAN MD

Original Issue Date

07/12/2007

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023