ROGER ALEXANDER LICHTENBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

ROGER

Middle

ALEXANDER

Last Name

LICHTENBAUM

Suffix

Business Name

ROGER ALEXANDER LICHTENBAUM MD

Original Issue Date

02/15/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023