ALICIA CAMPBELL LENZEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

ALICIA

Middle

CAMPBELL

Last Name

LENZEN

Business Name

ALICIA CAMPBELL LENZEN MD

Original Issue Date

10/10/2018

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023