LAWRENCE D BOYSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

LAWRENCE D

Last Name

BOYSEN

Suffix

Business Name

LAWRENCE D BOYSEN MD

Original Issue Date

11/03/1983

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023