JOURDAN M CANCIENNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

JOURDAN

Middle

Last Name

CANCIENNE

Business Name

JOURDAN M CANCIENNE MD

Original Issue Date

02/01/2018

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023