JASON C TJADEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

JASON C

Last Name

TJADEN

Business Name

JASON C TJADEN

Original Issue Date

10/09/2003

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023