WALTER M JAY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

INACTIVE

Business

First Name

WALTER M

Last Name

JAY

Suffix

Business Name

WALTER M JAY MD

Original Issue Date

01/01/1997

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2020