ASHLEY KATHERINE LENTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

Title

First Name

ASHLEY

Middle

KATHERINE

Last Name

LENTZ

Business Name

ASHLEY KATHERINE LENTZ MD

Original Issue Date

06/09/2010

Effective Date

06/09/2010

Expiration Date

07/31/2011

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011