JEFFREY L VISOTSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

JEFFREY L

Last Name

VISOTSKY

Suffix

Business Name

JEFFREY L VISOTSKY MD

Original Issue Date

12/12/2005

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020