JAY DALE BREITLOW DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011566

License Status

NOT RENEWED

Business

First Name

JAY

Middle

DALE

Last Name

BREITLOW

Suffix

Business Name

JAY DALE BREITLOW DC

Original Issue Date

11/17/2009

Effective Date

11/17/2009

Expiration Date

07/31/2011

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/10/2011