WYATT C JAFFE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037976

License Status

CANCELLED

Business

First Name

WYATT

Middle

Last Name

JAFFE

Business Name

WYATT C JAFFE

Original Issue Date

05/26/1998

Effective Date

05/26/1998

Expiration Date

07/05/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006