JONATHAN MARK ERLICH 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

Title

First Name

JONATHAN

Middle

MARK

Last Name

ERLICH

Business Name

JONATHAN MARK ERLICH MD

Original Issue Date

01/26/2015

Effective Date

01/26/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2020