CHRISTOPHER J DEWALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

CHRISTOPHER J

Last Name

DEWALD

Suffix

Business Name

CHRISTOPHER J DEWALD MD

Original Issue Date

06/28/1990

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2023