KENNETH W JORDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

KENNETH W

Last Name

JORDAN

Suffix

Business Name

KENNETH W JORDAN MD

Original Issue Date

08/11/1993

Effective Date

08/11/1993

Expiration Date

07/31/2002

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006