License holder summary

Mark K Jordan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark K Jordan is St Elizabeth Physicians, 204 Bridgeway Street, Aurora IN 47001. This licensed professional license is current. The license was granted 05/01/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mark K Jordan
Controlled Substance Registration - Physician
License number
01071044B
Date granted
05/01/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Elizabeth Physicians, 204 Bridgeway Street, Aurora IN 47001
indianalicensing.org
ID 5819769
LAST UPDATED 2024-02-20 06:45:52 UTC

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