LORAINE KATHRYN ENDRES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

LORAINE

Middle

KATHRYN

Last Name

ENDRES

Suffix

Business Name

LORAINE KATHRYN ENDRES MD

Original Issue Date

05/19/1999

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

FORT MYERS

State

Zip

33908

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021