JASON MICHAEL KORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

JASON

Middle

MICHAEL

Last Name

KORN

Suffix

Business Name

JASON MICHAEL KORN MD

Original Issue Date

05/06/2009

Effective Date

05/06/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/10/2011