JASON C BIRNHOLZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

JASON C

Last Name

BIRNHOLZ

Suffix

Business Name

JASON C BIRNHOLZ MD

Original Issue Date

06/26/2006

Effective Date

06/26/2006

Expiration Date

07/31/2008

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/11/2017