LARRY KEITH JORDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124642

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

KEITH

Last Name

JORDAN

Suffix

Business Name

LARRY KEITH JORDAN MD

Original Issue Date

11/19/2009

Effective Date

09/08/2020

Expiration Date

07/31/2023

City

EDEN PRAIRIE

State

Zip

55344

County

TEXAS

Ever Disciplined

LastModifiedDate

11/30/2023