ILAN GABRIEL YAVITZ ZINCOF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

ILAN

Middle

GABRIEL

Last Name

YAVITZ ZINCOF

Business Name

ILAN GABRIEL YAVITZ ZINCOF MD

Original Issue Date

09/21/2020

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023