ALICIA CAMPBELL LENZEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

ALICIA

Middle

CAMPBELL

Last Name

LENZEN

Business Name

ALICIA CAMPBELL LENZEN MD

Original Issue Date

02/20/2014

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020