LOUIS JACK FLANCBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

JACK

Last Name

FLANCBAUM

Suffix

Business Name

LOUIS JACK FLANCBAUM MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60612

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006