JARED JAY DIRKS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

INACTIVE

Business

Title

First Name

JARED

Middle

JAY

Last Name

DIRKS

Business Name

JARED JAY DIRKS MD

Original Issue Date

12/13/2019

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2025