EDITH M CHAFFIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

EDITH M

Last Name

CHAFFIN

Suffix

Business Name

EDITH M CHAFFIN MD

Original Issue Date

09/26/1983

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60621

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023