JAMIE L KONDELIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

JAMIE L

Last Name

KONDELIS

Suffix

Business Name

JAMIE L KONDELIS MD

Original Issue Date

10/06/2005

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023