JONATHAN DAVID SPITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

JONATHAN DAVID

Last Name

SPITZ

Suffix

Business Name

JONATHAN DAVID SPITZ MD

Original Issue Date

05/29/1996

Effective Date

05/21/2008

Expiration Date

07/31/2011

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011