JAY J VIRCHOW Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

JAY

Middle

Last Name

VIRCHOW

Business Name

JAY J VIRCHOW

Original Issue Date

06/22/2004

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023