EDWARD S LICHTENBERG 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

First Name

EDWARD S

Last Name

LICHTENBERG

Suffix

Business Name

EDWARD S LICHTENBERG MD

Original Issue Date

06/10/1988

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023