JORDAN CAMERON TASSE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

JORDAN

Middle

CAMERON

Last Name

TASSE

Business Name

JORDAN CAMERON TASSE

Original Issue Date

10/06/2010

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023