JORDAN JAMES HENDERSON M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

M.D.

First Name

JORDAN

Middle

JAMES

Last Name

HENDERSON

Business Name

JORDAN JAMES HENDERSON M.D.

Original Issue Date

08/28/2025

Effective Date

08/28/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2025