JACK N POWITZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

JACK

Middle

Last Name

POWITZ

Business Name

JACK N POWITZ

Original Issue Date

01/11/2007

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023