YAFFA R GEWIRTZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105005

License Status

NOT RENEWED

Business

First Name

YAFFA

Middle

Last Name

GEWIRTZ

Business Name

YAFFA R GEWIRTZ

Original Issue Date

06/20/2001

Effective Date

06/20/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006