TED J JAGIELO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

TED J

Last Name

JAGIELO

Business Name

TED J JAGIELO

Original Issue Date

06/29/1997

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023