CHARLES EDWARD JAFFE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035991

License Status

EXPIRED

Business

First Name

CHARLES

Middle

EDWARD

Last Name

JAFFE

Suffix

Business Name

CHARLES EDWARD JAFFE DO

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

06/30/2000

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006