LAWRENCE D WURTZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

LAWRENCE D

Last Name

WURTZ

Business Name

LAWRENCE D WURTZ

Original Issue Date

05/24/1995

Effective Date

05/24/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006