LAWRENCE M LAVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049364

License Status

NOT RENEWED

Business

First Name

LAWRENCE M

Last Name

LAVINE

Suffix

Business Name

LAWRENCE M LAVINE MD

Original Issue Date

07/03/1974

Effective Date

06/13/2017

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/09/2021

Case Number

2019010614

Action

Permanent Inactive

Discipline Start Date

04/08/2021

Discipline Reason

physician and surgeon license placed on permanent inactive status due to inappropriate controlled substance prescribing.