JORDAN FRANK FLEISHHACKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112695

License Status

INACTIVE

Business

First Name

JORDAN

Middle

FRANK

Last Name

FLEISHHACKER

Suffix

Business Name

JORDAN FRANK FLEISHHACKER MD

Original Issue Date

11/24/2004

Effective Date

11/24/2004

Expiration Date

07/31/2005

City

GALLUP

State

Zip

87301

Ever Disciplined

LastModifiedDate

10/24/2013

Case Number

2013007126

Action

Refuse To Renew

Discipline Start Date

10/11/2013

Discipline Reason

after being disciplined by the state of Massachusetts.