JORDAN GITLIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

JORDAN

Last Name

GITLIN

Business Name

JORDAN GITLIN MD

Original Issue Date

08/22/2022

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

NEW HYDE PARK

State

Zip

11042

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2024