JORDAN KENNETH MARSHALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

KENNETH

Last Name

MARSHALL

Business Name

JORDAN KENNETH MARSHALL MD

Original Issue Date

06/02/2022

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

MAPLEWOOD

State

Zip

63143

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023