JONATHAN M LORENZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030165

License Status

EXPIRED

Business

First Name

JONATHAN M

Last Name

LORENZ

Suffix

Business Name

JONATHAN M LORENZ MD

Original Issue Date

06/08/1993

Effective Date

06/08/1993

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006