ALISON M LENTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

ALISON

Middle

Last Name

LENTZ

Suffix

Business Name

ALISON M LENTZ MD

Original Issue Date

03/06/1998

Effective Date

03/06/1998

Expiration Date

07/31/2002

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006