LILLY CLAIRE JORDAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

LILLY

Middle

CLAIRE

Last Name

JORDAN

Business Name

LILLY CLAIRE JORDAN MD

Original Issue Date

05/19/2021

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

MELROSE PARK

State

Zip

60160

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023