CEDRIC SAN FELIPE LORENZO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

CEDRIC

Middle

SAN FELIPE

Last Name

LORENZO

Business Name

CEDRIC SAN FELIPE LORENZO

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008