THEODORE JASON FISHER MD 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

THEODORE

Middle

JASON

Last Name

FISHER

Suffix

Business Name

THEODORE JASON FISHER MD

Original Issue Date

06/27/2007

Effective Date

10/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/24/2023