JILL C HAFELEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

JILL

Middle

Last Name

HAFELEIN

Business Name

JILL C HAFELEIN MD

Original Issue Date

10/06/2010

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023