MARK ALLEN JORDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

ALLEN

Last Name

JORDAN

Business Name

MARK ALLEN JORDAN MD

Original Issue Date

11/14/2017

Effective Date

11/14/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021