LAURENS F JOHANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

LAURENS

Middle

Last Name

JOHANSEN

Suffix

Business Name

LAURENS F JOHANSEN MD

Original Issue Date

10/10/1989

Effective Date

10/10/1989

Expiration Date

07/31/1990

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006