MITCHELL D LORENZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

MITCHELL

Middle

Last Name

LORENZ

Business Name

MITCHELL D LORENZ MD

Original Issue Date

06/28/2019

Effective Date

06/28/2019

Expiration Date

09/30/2020

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021