LORI M LILLIENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

LORI M

Last Name

LILLIENBERG

Suffix

Business Name

LORI M LILLIENBERG MD

Original Issue Date

05/08/1992

Effective Date

05/08/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006