E ALFONSO JORDAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016000034

License Status

NOT RENEWED

Business

First Name

E ALFONSO

Last Name

JORDAN

Business Name

E ALFONSO JORDAN

Original Issue Date

01/01/1998

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006