PAUL HENRY LORENSEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053941

License Status

NOT RENEWED

Business

First Name

PAUL HENRY

Last Name

LORENSEN

Suffix

Business Name

PAUL HENRY LORENSEN DO

Original Issue Date

11/19/1976

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021