ROBERT JACQUES WIRTSHAFTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

ROBERT JACQUES

Last Name

WIRTSHAFTER

Suffix

Business Name

ROBERT JACQUES WIRTSHAFTER MD

Original Issue Date

01/01/1997

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011