CHARLES EDWARD JAFFE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

CHARLES

Middle

EDWARD

Last Name

JAFFE

Suffix

Business Name

CHARLES EDWARD JAFFE DO

Original Issue Date

08/16/1999

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023