JACK MORTIMER BUFFINGTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

JACK MORTIMER

Last Name

BUFFINGTON

Suffix

Business Name

JACK MORTIMER BUFFINGTON MD

Original Issue Date

01/01/1997

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/12/2017