ERNEST WALTER WAINTRAUB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

Title

First Name

ERNEST

Middle

WALTER

Last Name

WAINTRAUB

Business Name

ERNEST WALTER WAINTRAUB MD

Original Issue Date

11/27/2013

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020