JOSE A AYALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

First Name

JOSE

Middle

Last Name

AYALA

Suffix

Business Name

JOSE A AYALA MD

Original Issue Date

01/16/2008

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60639

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023