JEFFREY STEWART WAITZMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

JEFFREY STEWART

Last Name

WAITZMAN

Suffix

Business Name

JEFFREY STEWART WAITZMAN MD

Original Issue Date

01/01/1997

Effective Date

08/08/2011

Expiration Date

07/31/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017