JONATHAN ALDEN DYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

ALDEN

Last Name

DYER

Suffix

Business Name

JONATHAN ALDEN DYER MD

Original Issue Date

06/26/2002

Effective Date

06/26/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006