ERNEST WALTER WAINTRAUB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

ERNEST

Middle

WALTER

Last Name

WAINTRAUB

Business Name

ERNEST WALTER WAINTRAUB MD

Original Issue Date

02/28/2012

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021