JACK N POWITZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117378

License Status

ACTIVE

Business

First Name

JACK

Middle

Last Name

POWITZ

Business Name

JACK N POWITZ

Original Issue Date

12/27/2006

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

07/22/2023