BURTON S JAFFE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

BURTON

Middle

Last Name

JAFFE

Suffix

Business Name

BURTON S JAFFE MD

Original Issue Date

06/18/2004

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023