NAOMI T LAVENTHAL 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

NAOMI

Middle

Last Name

LAVENTHAL

Business Name

NAOMI T LAVENTHAL

Original Issue Date

08/29/2006

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011