BERNARD J LAVINS JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

BERNARD

Middle

Last Name

LAVINS

Suffix

Business Name

BERNARD J LAVINS JR

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

07/31/1993

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017