DAVID J LOFGREN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

LOFGREN

Suffix

Business Name

DAVID J LOFGREN MD

Original Issue Date

05/15/1985

Effective Date

05/15/1985

Expiration Date

07/31/1987

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006