SHERWYN JORDAN WAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

SHERWYN

Middle

JORDAN

Last Name

WAYNE

Suffix

Business Name

SHERWYN JORDAN WAYNE MD

Original Issue Date

11/04/2010

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014