KENNETH BERNARD JORDAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

BERNARD

Last Name

JORDAN

Business Name

KENNETH BERNARD JORDAN MD

Original Issue Date

10/22/2023

Effective Date

10/22/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/22/2023