WYATT C JAFFE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103047

License Status

NOT RENEWED

Business

First Name

WYATT

Middle

Last Name

JAFFE

Business Name

WYATT C JAFFE

Original Issue Date

07/13/2000

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014