LAURENCE HOGSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

LAURENCE

Last Name

HOGSTROM

Suffix

Business Name

LAURENCE HOGSTROM MD

Original Issue Date

04/07/1987

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020