LAUREN T LANGE SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

LAUREN

Middle

Last Name

LANGE SMITH

Business Name

LAUREN T LANGE SMITH MD

Original Issue Date

02/23/2017

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023