JAMESON J AZUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

Title

First Name

JAMESON

Middle

Last Name

AZUL

Business Name

JAMESON J AZUL MD

Original Issue Date

03/14/2017

Effective Date

03/14/2017

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60060

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017