MARK ALAN LICHTENFELD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

CANCELLED

Business

First Name

MARK

Middle

ALAN

Last Name

LICHTENFELD

Suffix

Business Name

MARK ALAN LICHTENFELD MD

Original Issue Date

10/04/1984

Effective Date

10/04/1984

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020