JASON M LEBWOHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

LEBWOHL

Suffix

Business Name

JASON M LEBWOHL MD

Original Issue Date

10/24/2005

Effective Date

10/24/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/06/2008