MARK HOWARD JAFFE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057125

License Status

NOT RENEWED

Business

First Name

MARK HOWARD

Last Name

JAFFE

Suffix

Business Name

MARK HOWARD JAFFE MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2012