JACOB LENHARDT MATHIS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

CANCELLED

Business

First Name

JACOB

Middle

LENHARDT

Last Name

MATHIS

Business Name

JACOB LENHARDT MATHIS

Original Issue Date

03/29/2007

Effective Date

03/29/2007

Expiration Date

07/31/2008

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011