DAVID MICHAEL JAFFE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

JAFFE

Business Name

DAVID MICHAEL JAFFE MD

Original Issue Date

12/21/1983

Effective Date

12/21/1983

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020