JONATHAN AVELINO MAITEM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

JONATHAN AVELINO

Last Name

MAITEM

Business Name

JONATHAN AVELINO MAITEM

Original Issue Date

07/17/1996

Effective Date

07/17/1996

Expiration Date

07/31/1999

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006