ALLAN S LICHTMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

ALLAN

Middle

Last Name

LICHTMAN

Business Name

ALLAN S LICHTMAN

Original Issue Date

09/24/2001

Effective Date

09/24/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006