DAVID S OGREN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

OGREN

Business Name

DAVID S OGREN

Original Issue Date

04/23/2008

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017