JONATHAN ALLEN WYATT 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

JONATHAN ALLEN

Last Name

WYATT

Suffix

Business Name

JONATHAN ALLEN WYATT MD

Original Issue Date

04/22/2021

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023