PAUL HENRY LORENSEN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****37

NOT RENEWED

N

PAUL HENRY

LORENSEN

DO

PAUL HENRY LORENSEN DO

01/01/1997

07/13/2017

09/30/2020

CHICAGO

IL

60622

COOK

II III IV V

N

01/14/2021