JORDAN KENNETH MARSHALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160684

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

KENNETH

Last Name

MARSHALL

Business Name

JORDAN KENNETH MARSHALL MD

Original Issue Date

05/26/2022

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

MAPLEWOOD

State

Zip

63143

Ever Disciplined

LastModifiedDate

05/26/2023