JONATHAN DAVID SPITZ MD - Medical Doctor License in Illinois | # 125029417

JONATHAN DAVID SPITZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029417

License Status

EXPIRED

Business

N

First Name

JONATHAN DAVID

Last Name

SPITZ

Suffix

MD

Business Name

JONATHAN DAVID SPITZ MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/30/1996

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006