JEFFREY STEWART WAITZMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

JEFFREY STEWART

Last Name

WAITZMAN

Suffix

Business Name

JEFFREY STEWART WAITZMAN MD

Original Issue Date

09/28/2011

Effective Date

09/28/2011

Expiration Date

07/31/2014

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017