ADOLFO ARIEL JAITOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

ADOLFO

Middle

ARIEL

Last Name

JAITOVICH

Suffix

Business Name

ADOLFO ARIEL JAITOVICH MD

Original Issue Date

08/22/2013

Effective Date

08/22/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014