DAVID C LORENZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000168

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

LORENZ

Business Name

DAVID C LORENZ

Original Issue Date

05/06/1992

Effective Date

05/06/1992

Expiration Date

08/04/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006