JAYME KWAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

JAYME

Last Name

KWAK

Business Name

JAYME KWAK MD

Original Issue Date

06/12/2019

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023