JORDAN KAZAKOV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148464

License Status

ACTIVE

Business

Title

First Name

JORDAN

Last Name

KAZAKOV

Business Name

JORDAN KAZAKOV MD

Original Issue Date

03/06/2019

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

CAMBRIDGE

State

Zip

02141

Ever Disciplined

LastModifiedDate

05/13/2023