DENNIS MICHAEL LAURENCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

DENNIS

Middle

MICHAEL

Last Name

LAURENCE

Business Name

DENNIS MICHAEL LAURENCE MD

Original Issue Date

01/23/2019

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023