EMILY JESSICA JAFFE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

JESSICA

Last Name

JAFFE

Suffix

Business Name

EMILY JESSICA JAFFE MD

Original Issue Date

09/25/2001

Effective Date

09/25/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006