ILAN GABRIEL YAVITZ ZINCOF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

ILAN

Middle

GABRIEL

Last Name

YAVITZ ZINCOF

Business Name

ILAN GABRIEL YAVITZ ZINCOF MD

Original Issue Date

08/29/2012

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021