LANIS L KUYZIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

LANIS L

Last Name

KUYZIN

Suffix

Business Name

LANIS L KUYZIN MD

Original Issue Date

01/01/1997

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023