KENNETH NORMAN JORDAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

KENNETH NORMAN

Last Name

JORDAN

Suffix

Business Name

KENNETH NORMAN JORDAN DO

Original Issue Date

01/01/1997

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020