JEFFREY L GREENWALD 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

JEFFREY L

Last Name

GREENWALD

Suffix

Business Name

JEFFREY L GREENWALD MD

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

07/31/1999

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006