JAY DALE BREITLOW DC - Medical Doctor License in Illinois | # 038011566

JAY DALE BREITLOW DC

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011566

License Status

NOT RENEWED

Business

N

First Name

JAY

Middle

DALE

Last Name

BREITLOW

Suffix

DC

Business Name

JAY DALE BREITLOW DC

Original Issue Date

11/17/2009

Effective Date

11/17/2009

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/10/2011