JAMES EDWARD GREENWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

EDWARD

Last Name

GREENWALD

Suffix

Business Name

JAMES EDWARD GREENWALD MD

Original Issue Date

04/22/2011

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021