LAWRENCE CHARLES FIENE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

CANCELLED

Business

First Name

LAWRENCE CHARLES

Last Name

FIENE

Suffix

Business Name

LAWRENCE CHARLES FIENE MD

Original Issue Date

01/01/1997

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014