DAVID LEE GORENZ MD 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

DAVID LEE

Last Name

GORENZ

Suffix

Business Name

DAVID LEE GORENZ MD

Original Issue Date

01/01/1997

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020