JAMIE M SLADE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

JAMIE

Middle

Last Name

SLADE

Business Name

JAMIE M SLADE MD

Original Issue Date

05/22/2015

Effective Date

05/22/2015

Expiration Date

07/31/2017

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020