JACQUELINE A JORDAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

JACQUELINE A

Last Name

JORDAN

Business Name

JACQUELINE A JORDAN

Original Issue Date

07/26/1990

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023

Case Number

1997006378

Action

Probation

Discipline Start Date

02/11/1998

Discipline End Date

03/26/2010

Discipline Reason

Engaged in non-therapeutic self-prescribing.