PAUL JUDE JAGIELO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

PAUL JUDE

Last Name

JAGIELO

Suffix

Business Name

PAUL JUDE JAGIELO MD

Original Issue Date

06/10/1996

Effective Date

06/10/1996

Expiration Date

07/31/1999

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020