JEROME MARTIN KLAFTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

JEROME MARTIN

Last Name

KLAFTA

Suffix

Business Name

JEROME MARTIN KLAFTA MD

Original Issue Date

06/22/1993

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023