MARK ALLEN JORDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144643

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

ALLEN

Last Name

JORDAN

Business Name

MARK ALLEN JORDAN MD

Original Issue Date

11/14/2017

Effective Date

11/14/2017

Expiration Date

09/30/2020

City

GRAND RAPIDS

State

Zip

49503

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021