JEFFREY J RUTGARD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

Last Name

RUTGARD

Business Name

JEFFREY J RUTGARD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020