NINA T JORDANIA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

NINA

Middle

Last Name

JORDANIA

Business Name

NINA T JORDANIA

Original Issue Date

07/19/2002

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017