JAMIE L KONDELIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

JAMIE L

Last Name

KONDELIS

Suffix

Business Name

JAMIE L KONDELIS MD

Original Issue Date

09/10/1990

Effective Date

09/10/1990

Expiration Date

07/31/1993

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020