IAN G JASENOF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

IAN G

Last Name

JASENOF

Suffix

Business Name

IAN G JASENOF MD

Original Issue Date

08/28/1991

Effective Date

08/28/1991

Expiration Date

07/31/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020