MYKALA JORDAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

INOPERATIVE

Business

First Name

MYKALA

Last Name

JORDAN

Business Name

MYKALA JORDAN

Original Issue Date

12/13/2021

Effective Date

01/26/2024

Expiration Date

03/01/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/03/2025