LAWRENCE JOSEPH BAHOURA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

Title

First Name

LAWRENCE

Middle

JOSEPH

Last Name

BAHOURA

Business Name

LAWRENCE JOSEPH BAHOURA MD

Original Issue Date

02/23/2017

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021